(437) Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet, and Supporting Regulations

(CMS-437) Psychiatric Unit Criteria Work Sheet and Supporting Regulations

OMB: 0938-0358

IC ID: 7996

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(437) Psychiatric Unit Criteria Work Sheet, Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet, and Supporting Regulations
 
No Modified
 
Mandatory
 
42 CFR 412.25-27

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-437 Psychiatric Unit Criteria Worksheet CMS-437 form & guidance.tif No No Paper Only

Health Health Care Services

 

1,614 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 1,614 0 281 0 1,333 0
Annual IC Time Burden (Hours) 404 0 71 0 333 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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