OMB control number
Evaluation and Development of Outcome Measures for Quality Assessment in Medicare Advantage and Special Needs Plans
OMB 0938-1200 · HHS/CMS.
OMB 0938-1200
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10451 Amended CAHPS Survey | Form and Instruction |
| Form CMS-10451 Abstracting Information from Medical Records | Form and Instruction |
 CMS-10451.Supporting Statement Part B & Instruments.pdf | Supporting Statement B |
| CMS-10451.Matrix Response to Comments.docx | Supplementary Document |
| CMS-10451.Supporting Statement Part A.pdf | Supporting Statement A |
 Amended CAHPS Survey |
Form and Instruction |
| Abstracting Information from Medical Records |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201303-0938-007 | New collection (Request for a new OMB Control Number) | 2013-03-08 | Approved without change |