Hospice Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24

Hospice Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24

OMB: 0938-0758

IC ID: 8476

Information Collection (IC) Details

View Information Collection (IC)

Hospice Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24
 
No Modified
 
Mandatory
 
42 CFR 413.24 42 CFR 413.20

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction R1p243 [rev 11-22-2013].doc Yes No Fillable Printable
Form CMS-1984-14 Hospice Cost Report R1p243f.pdf Yes Yes Fillable Printable

Health Health Care Services

 

2,751 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 2,751 0 0 448 0 2,303
Annual IC Time Burden (Hours) 517,188 0 896 110,964 0 405,328
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk CMS-1984-14-Revisions Crosswalk from old to new.doc 11/22/2013
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy