Information Collection

Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11

IC 8565 under ICR 200304-0938-009 · OMB 0938-0792.

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Information Collection (IC) Details

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IC Title:	Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11	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-0242				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 3,528	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	3,528	-45	3,573
Annual IC Time Burden (Hours)	3,663	0	3,663
Annual IC Cost Burden (Dollars)	0	0	0

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