Proposed Requirements for Hospitals to Make Public a List of Their Standard Charges

CY 2020 Proposed Requirements for Hospitals to Make Public a List of Their Standard Charges (CMS-10707)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1369 can be found here:

Documents and Forms

Document Name Document Type

no available documents/forms check other ICs listed under this ICR

Information Collection (IC) Details

IC Title:	Proposed Requirements for Hospitals to Make Public a List of Their Standard Charges	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 45 CFR 180

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,002	Number of Respondents for Small Entity: 3,218

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	6,002	6,002	0
Annual IC Time Burden (Hours)	900,300	0	900,300
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.