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

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

Documents and Forms

Document Name Document Type
Form CMS-10246 Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration (Staff Time Logs) Form
CMS-10246.revised_cru_instructions_16nov2007.doc Instruction
CMS-10246 CMS-10246.revised_cru_forms CMS-10246.revised_cru_forms_16nov2007.xls Form

Information Collection (IC) Details

IC Title:	Cost and Resource Utilization (CRU) Data Collection for the Medicare Post Acute Care Payment Reform Demonstration (Staff Time Logs)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

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-10246	CMS-10246.revised_cru_forms	CMS-10246.revised_cru_forms_16nov2007.xls		Yes	Yes	Fillable Fileable
Instruction			CMS-10246.revised_cru_instructions_16nov2007.doc		Yes	No	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

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

Number of Respondents: 138	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	61,439	61,439
Annual IC Time Burden (Hours)	15,361	15,361
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

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.