National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)

ICR 202404-0938-026

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0981 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10102 HCAHPS Survey (Patients) Form and Instruction	Modified
Form CMS-10102 HCAHPS Survey (Patients via Hospital Data Collection) Form and Instruction	Modified
CMS-10102 SUPPORTING STATEMENT A 5-1-2024.docx Supporting Statement A	2024-05-02
CMS-10102 SUPPORTING STATEMENT B - 03-07-24.docx Supporting Statement B	2024-05-01

IC Document Collections

IC ID	Document Title	Status
8843	HCAHPS Survey (Patients) Form and Instruction	Modified
202110	HCAHPS Survey (Patients via Hospital Data Collection) Form and Instruction	Modified

ICR Details