Medicare/medicaid - Long Term Care Survey Report Forms

MEDICARE/MEDICAID - LONG TERM CARE SURVEY REPORT FORMS

OMB: 0938-0400

IC ID: 113656

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MEDICARE/MEDICAID - LONG TERM CARE SURVEY REPORT FORMS
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-519 No No
Form THRU No No
Form HCFA-525 No No


    

54 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 46,175 0 0 29,675 0 16,500
Annual IC Time Burden (Hours) 12,625 0 0 -46,175 0 58,800
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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