Information Collection

Strategic and Implementing Plan Regarding Specialty Hospitals - Section 5006 of the DRA

IC 37931 under ICR 200607-0938-017 · OMB 0938-0995.

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Information Collection (IC) Details

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IC Title:	Strategic and Implementing Plan Regarding Specialty Hospitals - Section 5006 of the DRA	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-10092				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 450	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	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	450	50	400
Annual IC Time Burden (Hours)	1,800	200	1,600
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.