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

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

OMB: 0938-0907

IC ID: 8747

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 Hospital Wage Index Occupational Mix Survey 2013 MEDICARE WAGE INDEX OCCUPATIONAL MIX SURVEY_2-12-13update.docx Yes Yes Fillable Fileable

Health Health Care Services

 

3,500 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 3,500 0 0 -22 0 3,522
Annual IC Time Burden (Hours) 1,680,000 0 0 -10,560 0 1,690,560
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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