OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Consumer Research on Public Reporting of Hospital Quality Measures (CMS-10360)

OMB 0938-1143 · HHS/CMS.

OMB 0938-1143

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10360 Consumer Research on Public Reporting of Hospital Quality Measures (IC's 3 and 4) Form
Form CMS-10360 Interviews Form
Form CMS-10360 Inital Screening Round 2 (Cognitive Interviews) Form and Instruction
CMS-10360.REVISED - Supporting Statement Part B.pdf Supporting Statement B
CMS-10360.REVISED Supporting Statement Part A_080511.pdf Supporting Statement A
Consumer Research on Public Reporting of Hospital Quality Measures (IC's 3 and 4) Form
Interviews Form
Inital Screening Round 2 (Cognitive Interviews) Form and Instruction

All Historical Document Collections

201107-0938-003 Approved with change	New collection (Request for a new OMB Control Number)	2011-07-07
201103-0938-005 Withdrawn	New collection (Request for a new OMB Control Number)	2011-03-18