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Inpatient Psychiatric Facility Quality Reporting Program
Inpatient Psychiatric Facility Quality Reporting Program (CMS-10432)
OMB: 0938-1171
IC ID: 202349
OMB.report
HHS/CMS
OMB 0938-1171
ICR 202405-0938-001
IC 202349
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1171 can be found here:
2024-10-04 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
Form CMS-10432
Inpatient Psychiatric Facility Quality Reporting Program
Form
CMS-10432 PIX Survey
PIX _ CMS v2.pdf
Form
CMS-10432 • IPFQR Program Data Entry Screen Shots (includes NOP, DACA, and Vendor Authorization Forms)
IPFQR Program Data Entry Screen Shots_July 2023.pdf
Form and Instruction
Information Collection (IC) Details
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