National Implementation of the Outpatient and Ambulatory Surgery Consumer Assessment of Healthcare Providers and Systems (OAS CAHPS) Survey (CMS-10500)

ICR 202402-0938-009

OMB: 0938-1240

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10500 HOPDs/ASCs Patient Records Form and Instruction	Modified
Form CMS-10500 National Implementation Form	Modified
CMS-10500-SupportingStatement-A.docx Supporting Statement A	2024-02-27
CMS-10500-SupportingStatement-B.docx Supporting Statement B	2024-02-23
Attachment G - Response to Comments.pdf Supplementary Document	2024-02-23

IC Document Collections

IC ID	Document Title	Status
216391	HOPDs/ASCs Patient Records Form and Instruction	Modified
216390	National Implementation Form	Modified