Hospitals and Health Care Complex Cost Report (CMS-2552-10)

Hospitals and Health Care Complex Cost Report and Supporting Regulation in 42 CFR 413.20 and 413.24

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0050 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-2552-10 Hospitals and Health Care Complex Cost Report (CMS-2552-10) Form and Instruction
CMS-2552-10 Hospitals and Health Care Complex Cost Report R3P240F.pdf Form and Instruction
CMS-2552-10 Hospitals and Health Care Complex Cost Report pr2_40.pdf Form and Instruction
CMS-2552-10 Hospitals and Health Care Complex Cost Report R3P240S.pdf Form and Instruction

Information Collection (IC) Details

IC Title:	Hospitals and Health Care Complex Cost Report (CMS-2552-10)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 413.24 42 CFR 413.20

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-2552-10	Hospitals and Health Care Complex Cost Report	R3P240F.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-2552-10	Hospitals and Health Care Complex Cost Report	pr2_40.pdf	Yes	Yes	Fillable Fileable
Form and Instruction	CMS-2552-10	Hospitals and Health Care Complex Cost Report	R3P240S.pdf	Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,171	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: 95 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	6,171	-3	6,174
Annual IC Time Burden (Hours)	4,153,083	-2,019	4,155,102
Annual IC Cost Burden (Dollars)	0	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.