IRF Quality Reporting Program: Program Evaluation

Inpatient Rehabilitation Facilities Quality Reporting Program: Program Evaluation

OMB: 0938-1241

IC ID: 210818

Information Collection (IC) Details

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IRF Quality Reporting Program: Program Evaluation
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10503 Structured Interview Questions for the IRF Setting InpatientRehabilitationFacilitiesQuestions. 11.14.13.pdf Yes Yes Fillable Fileable

Health Health Care Services

Long Term Care Hospitals Quality Reporting Program (LTCH QRP)  78 FR 8535

30 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  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 30 0 30 0 0 0
Annual IC Time Burden (Hours) 71 0 71 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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