OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Consumer Research on Public Reporting of Hospital Outpatient Measures (CMS-10310)

OMB 0938-1081 · HHS/CMS.

OMB 0938-1081

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
Form CMS-10310 (CMS-10310) - Patient and Caregiver Interviews	Form and Instruction
Form CMS-10310 (CMS-10310) - PCP, Specialist and Tech Interviews	Form and Instruction
Form CMS-10310 (CMS-10310) - Initial Screening	Form and Instruction
Hospital Outpatient Measures_Formative Research_Summary Findings Memo_REV.doc	Supplementary Document
CMS-10310.Outpatient Measures_Informed Consent.doc	Supplementary Document
CMS-10310.Mockup 4_Imaging Measures_REV_1_15.doc	Supplementary Document
CMS-10310.Mockup 3_HA Measures_REV_1_15_v2.doc	Supplementary Document
CMS-10310.Mockup 1_Outpatient Measures Pathway_REV_1_15.doc	Supplementary Document
CMS-10310.Outpatient_Inpatient Definitions.doc	Supplementary Document
CMS-10310.Mockup 2_Surgery Measures_REV_1_15_v2.docx	Supplementary Document
CMS-10310 Supporting Statement Part A - CLEAN-2-3-10.docx	Supporting Statement A
(CMS-10310) - Patient and Caregiver Interviews	Form and Instruction
(CMS-10310) - PCP, Specialist and Tech Interviews	Form and Instruction
(CMS-10310) - Initial Screening	Form and Instruction

All Historical Document Collections

Historical document collections
Reference	Filing	Received	Concluded	Action
201001-0938-005	New collection (Request for a new OMB Control Number)	2010-01-25		Approved with change