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Federal forms, ICRs, and supporting documents

Information Collection

Technical Assistance (TA) User Feedback for Program and User Support and Quality Measure Tool Development for Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Surveys on Patient Sa

IC 231329 under ICR 202310-0935-001 · OMB 0935-0179.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
IC Document
IC Document
IC Document
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Technical Assistance (TA) User Feedback for Program and User Support and Quality Measure Tool Development for Consumer Assessment of Healthcare Providers and Systems (CAHPS) and Surveys on Patient Sa
 
Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction 1 Questions for Users of SOPS Technical Assistance SOPS TA User Feedback 4-17-2018.docx Yes Yes Fillable Fileable
Form and Instruction 2 Questions for Users of CAHPS Technical Assistance CAHPS TA User Feedback 4-17-2018.docx Yes Yes Fillable Fileable

Health Health Care Services

 

120 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 120 0 0 0 0 120
Annual IC Time Burden (Hours) 6 0 0 0 0 6
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Supporting Statement SOPS TA User Feedback 4-27-2018EB3.docx 05/04/2018
Cover Letter OMB Cover Letter.doc 05/04/2018
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.