Information Collection Request
Payment Adjustment for Low-Volume Hospitals Under the Hospital Inpatient Prospective Payment System (IPPS) (CMS-10857)
ICR 202304-0938-015 · OMB 0938-1448 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1448 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-10857 Low Volume Adj - Supporting Statement - Part A 5-10-23.docx |
Supporting Statement A | Uploaded 2023-05-10 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 260130 |  Verification of Current Requests and New requests for payment adjustments |
New |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-1448 |
| Type of Information Collection | New collection (Request for a new OMB Control Number) |
| Agency Tracking No | CM |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |