Information Collection Request
Testing Experience and Functional Tools: Functional Assessment Standardized Items (FASI) Based on the CARE Tool (CMS-10243)
ICR 202304-0938-030 · OMB 0938-1037 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10243_Supporting Statement B (2023 version 1)_508.docx |
Supporting Statement B | Uploaded 2023-04-28 | Repair queued |
| CMS-10243_Supporting Statement A (2023 version 4)_508.docx |
Supporting Statement A | Uploaded 2023-04-28 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 222991 |  Functional Assessment Standardized Items (FASI): Round 1 |
Instruction | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1037 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 201912-0938-009 |
| Agency Tracking No | CMCS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |