Skilled Nursing Facility and Silled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106

Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106

OMB: 0938-0463

IC ID: 8084

Information Collection (IC) Details

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Skilled Nursing Facility and Silled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106
 
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 CMS-2540-10-Instructions .pdf Yes No Printable Only
Form CMS-2540-10 Cost Report CMS-2540-10_Cost_Report.xlsx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

14,398 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 14,398 0 213 0 0 14,185
Annual IC Time Burden (Hours) 2,908,396 0 43,026 0 0 2,865,370
Annual IC Cost Burden (Dollars) 41,875,085,608 0 41,875,085,608 0 0 0

Title Document Date Uploaded
CMS-2540-10 Crosswalk CMS-2540-10 Revisions Hospice-Crosswalk-AC-07-09-15.pdf 09/03/2015
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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