Information Collection Request

Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645

ICR 200802-0938-003 · OMB 0938-1043 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10239.Supporting Statement Part A-10-1-07.doc Supporting Statement A Uploaded 2008-01-29 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
06/30/2011 36 Months From Approved
142,680 0 0
23,286 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 142,680 0 0 142,680 0 0
Annual Time Burden (Hours) 23,286 0 0 23,286 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No