Information Collection Request
National Implementation of Hospital Consumer Assessment of Health Providers and Systems (HCAHPS) (CMS-10102)
ICR 202404-0938-026 · OMB 0938-0981 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0981 can be found here:
Forms and Documents
Document Name | Status |
|---|---|
Form and Instruction |
Modified |
Form and Instruction |
Modified |
Supporting Statement A | 2024-05-02 |
Supporting Statement B | 2024-05-01 |
Form CMS-10102 HCAHPS Survey (Patients)
CMS-10102 SUPPORTING STATEMENT A 5-1-2024.docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 8843 | Modified | ||
| 202110 | Modified |
HCAHPS Survey (Patients)ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0981 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202311-0938-009 |
| Agency Tracking No | CM-CPC IPPS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |