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  3. OMB 0938-1273

OMB control number

Emergency Department Patient Experience of Care (EDPEC) Survey Mode Experiments (CMS-10543)

OMB 0938-1273 · HHS/CMS.

OMB 0938-1273
Latest Forms, Documents, and Supporting Material
Document
Name
201502-0938-005_EDPEC_Supporting_Statement_B (2015-2-24)_2015-04-06 Comm emfd 20150429 CLEAN.docx
Supporting Statement B
201502-0938-005_EDPEC_Supporting Statement A rev 02-26-2014 by OSORA PR emfd 20150429 CLEAN.docx
Supporting Statement A
EDPEC Discharged to Community
Other-Letter (Mailed)
EDPEC for Admitted Patients: HCAHPS Add-on Version B
Other-Cover Letter
EDPEC for Admitted Patients: HCAHPS Add-on Version A
Other-Cover Letter
HCAHPS Only
Other-Letters: Initial and Follow Up
All Historical Document Collections
201502-0938-005
Approved without change
New collection (Request for a new OMB Control Number) 2015-02-27

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