Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supp. Regs in 42 CFR Sections 413.20 and 413.24 (CMS-222)

Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supp. Regs in 42 CFR Sections 413.20 and 413.24

OMB: 0938-0107

IC ID: 7853

Documents and Forms
Document Name
Document Type
Other-Form CMS-222-92
Instruction
Instruction
Instruction
Information Collection (IC) Details

View Information Collection (IC)

Independent Rural Health Center/Freestanding Federally Qualified Health Center Cost Report and Supp. Regs in 42 CFR Sections 413.20 and 413.24 (CMS-222)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 413.20 42 CFR 413.24

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Form CMS-222-92 CMS-222 forms-t7.xls Yes Yes Paper Only
Instruction CMS-222 pr2_29_toc.doc Yes Yes Paper Only
Instruction CMS-222 pr2_2900_to_2910.doc Yes Yes Paper Only
Instruction CMS-222 pr2_2990.doc Yes Yes Paper Only

Health Health Care Services

 

3,159 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 3,159 0 0 159 0 3,000
Annual IC Time Burden (Hours) 157,950 0 0 7,950 0 150,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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