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Form CMS-10102 HCAHPS Survey Instrument (Mail) and Supporting Materials
National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)
Attachment A -- HCAHPS Survey Instrument - English -508
HCAHPS Survey (Patients via Hospital Data Collection)
OMB: 0938-0981
OMB.report
HHS/CMS
OMB 0938-0981
ICR 202404-0938-026
IC 202110
Form CMS-10102 HCAHPS Survey Instrument (Mail) and Supporting Materials
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0981 can be found here:
2024-08-28 - Revision of a currently approved collection
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