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Community Mental Health Center Site Visit Assessment Tool and Supporting Regulations in 42 CFR 410.2

IC 8516 under ICR 200508-0938-002 · OMB 0938-0770.

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Community Mental Health Center Site Visit Assessment Tool and Supporting Regulations in 42 CFR 410.2
 
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 CMS-R-273 No No


    

4,731 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 4,731 0 0 181 0 4,550
Annual IC Time Burden (Hours) 20,372 0 0 2,972 0 17,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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