Hospital Wage Index Occupational Mix Survey (CMS-10079)

ICR 202210-0938-014

OMB: 0938-0907

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-10079 Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64 Form and Instruction	Modified
CMS-10079_Supporting_Statement_A.docx Supporting Statement A	2022-10-26

IC Document Collections

IC ID	Document Title	Status
8747	Hospital Wage Index Occupational Mix Survey and Supporting Regulations in 42 CFR, Section 412.64 Form and Instruction	Modified