OMB control number
Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with ESRD: Impact of the ESRD Prospective Payment System (PPS) and ESRD Quality Incentive Program (QIP)
OMB 0938-1206 · HHS/CMS.
OMB 0938-1206
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Attachment D - BeneSurveyCrosswalk - for OMB Item 10 (Revised July 19, 2013).xlsx | Supplementary Document |
 Supporting Statement Part B - ESRD SBRD (Revised July 18 2013).docx | Supporting Statement B |
| BeneSurveyCrosswalk - 080812.xlsx | Supplementary Document |
 ESRD_survey_draft_cover_letter_080212.pdf | Supplementary Document |
| Supporting Statement Part A - ESRD SBRD (Revised July 18 2013).docx | Supporting Statement A |
 Evaluation of Patient Satisfaction and Experience of Care for Medicare Beneficiaries with ESRD |
Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201210-0938-007 | New collection (Request for a new OMB Control Number) | 2012-10-18 | Approved with change |