OMB control number

Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) Mode Experiment (CMS-10542)

OMB 0938-1272 · HHS/CMS.

OMB 0938-1272

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10542 HCAHPS+44 Survey Form
Form CMS-10542 HCAHPS+27 Survey Form
Form CMS-10542 HCAHPS+16 Survey Form
Form CMS-10542 HCAHPS+9 Survey Form
Form CMS-10102 HCAHPS Survey Form
Response to Public Comments for HCAHPS.docx Supplementary Document
201502-0938-011_CMS-10542 - HCAHPS OMB Supporting Statement B 20150224_C 20150420 (2).doc Supporting Statement B
201502-0938-011_CMS-10542 - Supporting Statement A rev 02-27-2015 by OS -- CLEAN.doc Supporting Statement A
HCAHPS+44 Survey Form
HCAHPS+27 Survey Form
HCAHPS+16 Survey Form
HCAHPS+9 Survey Form
HCAHPS Survey Form

All Historical Document Collections

201502-0938-011

2015-03-03