Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration (Interviews non-cru)

Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration

OMB: 0938-1038

IC ID: 183147

Information Collection (IC) Details

View Information Collection (IC)

Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration (Interviews non-cru)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10246 CMS-10246.interview_hha_admin CMS-10246.interview_hha_admin_16nov2007.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10246 CMS-10246.interview_hha_mgmt CMS-10246.interview_hha_mgmt_16nov2007.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10246 CMS-10246.interview_inst_admin CMS-10246.interview_inst_admin_16nov2007.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10246 CMS-10246.interview_inst_finance CMS-10246.interview_inst_finance_16nov2007.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10246 CMS-10246.interview_inst_mgmt CMS-10246.interview_inst_mgmt_16nov2007.doc Yes Yes Fillable Fileable
Form and Instruction CMS-10246 CMS-10246.nterview_hha_finance CMS-10246.nterview_hha_finance_16nov2007.doc Yes Yes Fillable Fileable

Health Health Care Services

Post Acute Care Payment Reform / Continuity of Assessment Record and Evaluation (PAC-CARE), System No. 09-70-0569  72 FR 55225

12 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 12 0 12 0 0 0
Annual IC Time Burden (Hours) 36 0 36 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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