Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities

Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities (CMS-R-306)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0833 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-R-306 Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities Form
CMS-R-306 Death Reporting Worksheet deathreportingworksheet PRA disclosure OMB updates 5-17-19.pdf Form

Information Collection (IC) Details

IC Title:	Restraint and Seclusion Standards for Psychiatric Residential Treatment Facilities	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 483.350 - 483.376

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-R-306	Death Reporting Worksheet	deathreportingworksheet PRA disclosure OMB updates 5-17-19.pdf		No		Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 360	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses for this IC	1,353,993	-112,830	1,466,823
Annual IC Time Burden (Hours)	414,944	-34,665	449,609
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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.