Information Collection

Hospital, Hospital-skilled Nursing Facility Complex, Cost Report

IC 166112 under ICR 198006-0938-008 · OMB 0938-0056.

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Information Collection (IC) Details

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IC Title:	HOSPITAL, HOSPITAL-SKILLED NURSING FACILITY COMPLEX, COST REPORT	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	SSA-2551	No	No
Form	2551 A THRU	No	No
Form	SSA-2551	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-6,950	7,000
Annual IC Time Burden (Hours)	2,000	-278,000	280,000
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.