Information Collection Request

Outcome and Assessment Information Set (OASIS-E2) (CMS-10545)

ICR 202512-0938-012 · OMB 0938-1279 · Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Form CMS-10545 Attachment_B_OASIS-E2-All-Items-instrument - Final Form and Instruction Modified Repair queued
Form CMS-10545 Medicare and Medicaid OASIS Collection Requirements (Data Collection) Form and Instruction Modified Repair queued
CMS-10545.Supporting Statement Part A (final rule).docx Supporting Statement A Uploaded 2025-12-09 Available
CMS-10545.Supporting Statement Part A (final rule).docx Supporting Statement A Uploaded 2025-12-09 Repair queued
Attachment C_ OASIS-E2 Itemized List of Data Elements 508.pdf Supplementary Document Uploaded 2025-12-09 Available
Attachment C_ OASIS-E2 Itemized List of Data Elements 508.pdf Supplementary Document Uploaded 2025-12-09 Repair queued
Attachment_B_OASIS-E2-All-Items-instrument - Final.pdf Supplementary Document Uploaded 2025-12-09 Available
Attachment_B_OASIS-E2-All-Items-instrument - Final.pdf Supplementary Document Uploaded 2025-12-09 Repair queued
Attachment_A_OASIS_E2_Change_Table 508.pdf Supplementary Document Uploaded 2025-12-09 Available
Attachment_A_OASIS_E2_Change_Table 508.pdf Supplementary Document Uploaded 2025-12-09 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
215972 Medicare and Medicaid OASIS Collection Requirements (Data Collection) Form and Instruction ModifiedAttachment_B_OASIS-E2-All-Items-instrument - Final
215972 Medicare and Medicaid OASIS Collection Requirements (Data Collection) Form and Instruction Modified

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
12/31/2028 36 Months From Approved 12/31/2027
18,425,499 0 18,017,056
16,936,624 0 16,683,290
0 0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
Medicare and Medicaid OASIS Collection Requirements (Data Collection) CMS-10545

table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 18,425,499 18,017,056 0 408,443 0 0
Annual Time Burden (Hours) 16,936,624 16,683,290 0 253,334 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No