Home Health Agency Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, 413.106

Home Health Agency Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, 413.106

OMB: 0938-0022

IC ID: 7766

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Instruction
Instruction
Instruction
Form
Information Collection (IC) Details

View Information Collection (IC)

Home Health Agency Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, 413.106
 
No Modified
 
Mandatory
 
42 CFR 413.24 42 CFR 413.20 42 CFR 413.106

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-1728-94 pr2_3215.3_to_3238.doc Yes Yes Paper Only
Instruction CMS-1728-94 pr2_3295.doc Yes Yes Paper Only
Instruction CMS-1728-94 pr2_32_toc.doc Yes Yes Paper Only
Instruction CMS-1728-94 pr2_3200_to_3215.2.doc Yes Yes Paper Only
Instruction CMS-1728-94 pr2_3290_exhibit_1.doc Yes Yes Paper Only
Form CMS-1728-94 HOME HEALTH AGENCY COST REPORT CERTIFICATION AND SETTLEMENT SUMMARY CMS-1728-94 r121728f.xls Yes Yes Paper Only

Health Health Care Services

 

5,069 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 5,069 0 -2,241 0 0 7,310
Annual IC Time Burden (Hours) 892,144 0 -418,916 0 0 1,311,060
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
© 2024 OMB.report | Privacy Policy