Request For Approval As A Hospital Provider Of Extended Care Services (swing-bed) In The Medicare And Medicaid Programs

REQUEST FOR APPROVAL AS A HOSPITAL PROVIDER OF EXTENDED CARE SERVICES (SWING-BED) IN THE MEDICARE AND MEDICAID PROGRAMS

OMB: 0938-0624

IC ID: 114089

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REQUEST FOR APPROVAL AS A HOSPITAL PROVIDER OF EXTENDED CARE SERVICES (SWING-BED) IN THE MEDICARE AND MEDICAID PROGRAMS
 
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-605 No No


    

1,500 0
   
Private Sector Businesses or other for-profits
 
   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 1,500 0 1,500 0 0 0
Annual IC Time Burden (Hours) 375 0 375 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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