Information Collection Request
Outcome and Assessment Information Set (OASIS-E) (CMS-10545)
ICR 202301-0938-004 · OMB 0938-1279 · Active
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1279 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Justification for No Material/Nonsubstantive Change | 2023-01-09 |
Justification for No Material/Nonsubstantive Change | 2023-01-09 |
Supplementary Document | 2022-05-16 |
Supplementary Document | 2022-05-16 |
Supporting Statement A | 2022-05-19 |
Supporting Statement A | 2022-05-19 |
IC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 215973 | Modified | ||
| 215973 | Modified | ||
| 215972 | Modified | ||
| 215972 | Modified |
ICR Details
| Status | Active |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1279 |
| Type of Information Collection | No material or nonsubstantive change to a currently approved collection |
| Previous ICR Reference No | 202205-0938-016 |
| Agency Tracking No | CCSQ |
| Date Submitted to OIRA | 2023-01-09 |
| Requested Expiration Date | 1969-12-31 |