Information Collection

Physician Certifications/recertifications In Skilled Nursing Facilities (snfs)

IC 113770 under ICR 199102-0938-005 · OMB 0938-0454.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0454 can be found here:

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	PHYSICIAN CERTIFICATIONS/RECERTIFICATIONS IN SKILLED NURSING FACILITIES (SNFS)	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.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-5				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 93,857	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	93,857	93,857
Annual IC Time Burden (Hours)	93,857	93,857
Annual IC Cost Burden (Dollars)	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.