OMB control number

Version 5010/ICD-10 Industry Readiness Assessment

OMB 0938-1149 ยท HHS/CMS.

OMB 0938-1149

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-10381 SurveyForm
CMS-10381.Supporting Statement Part B.docxSupporting Statement B
CMS-10381.Crosswalk of changes to Survey Instruments.docx Supplementary Document
CMS-10381.Supporting Statement Part A.docxSupporting Statement A
Survey Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
201303-0938-006 Revision of a currently approved collection 2013-03-08 Approved without change
201107-0938-001 New collection (Request for a new OMB Control Number) 2011-07-05 Approved with change