Physician Initial Certification

Physician Certifications/Recertifications in Skilled Nursing Facilities Manual Instructions and Supporting Regs.

OMB: 0938-0454

IC ID: 190006

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Physician Initial Certification
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 424.20(a) through (d)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

923,390 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  Requested 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 923,390 0 0 -59,802 983,192 0
Annual IC Time Burden (Hours) 76,949 0 0 -4,983 81,932 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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