Diagnosis Related Groups (DRG) Reimbursement (Two Parts)

Diagnosis Related Groups (DRG) Reimbursement (Two Parts)

OMB: 0720-0017

IC ID: 5589

Documents and Forms
Document Name
Document Type
Other-Letter with instructions
Information Collection (IC) Details

View Information Collection (IC)

Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
 
No Modified
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Letter with instructions SAMPLE collection instrument_0720-0017 DRG Reimbursement-v2.PDF No   Paper Only

Defense and National Security Operational Defense

 

5,600 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   50 %

  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 5,600 0 0 0 0 5,600
Annual IC Time Burden (Hours) 8,400 0 0 0 0 8,400
Annual IC Cost Burden (Dollars) 397,236 0 0 161,924 0 235,312

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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