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Medicare/medicaid -- Skilled Nursing Facilities And Nursing Facilities Survey Report Form And Worksheets

IC 113658 under ICR 198907-0938-001 · OMB 0938-0400.

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MEDICARE/MEDICAID -- SKILLED NURSING FACILITIES AND NURSING FACILITIES SURVEY REPORT FORM AND WORKSHEETS
 
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 HCFA-525 No No
Form THRU No No


    

31,414 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 31,414 0 0 0 0 31,414
Annual IC Time Burden (Hours) 125,675 0 0 0 0 125,675
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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