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Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64

IC 8747 under ICR 201001-0938-004 · OMB 0938-0907.

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

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Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64
 
No Modified
 
Mandatory
 
42 CFR 412.64

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10079 Medicare Wage Index Occupational Mix Survey MEDICARE WAGE INDEX OCCUPATIONAL MIX SURVEY.doc Yes Yes Fillable Printable

Health Health Care Services

 

3,522 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 3,522 0 -78 0 0 3,600
Annual IC Time Burden (Hours) 1,690,560 0 -37,440 0 0 1,728,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Medicare Wage Index Occupational Mix Survey Summary of Changes Medicare Wage Index Occupational Mix Survey Summary of Changes.doc 01/11/2010
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.