SNF Resident Assessment MDS Data and Supporting Regulations in 42 CFR 413,337, 413.343, 424.32, and 483.20

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IC Title:	SNF Resident Assessment MDS Data and Supporting Regulations in 42 CFR 413,337, 413.343, 424.32, and 483.20	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-R-250				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 17,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	2,657,859	2,453,859	204,000
Annual IC Time Burden (Hours)	2,640,371	-3,055,847	5,696,218
Annual IC Cost Burden (Dollars)	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.