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IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036)
ICR 202405-0938-009
OMB: 0938-0842
Federal Form Document
OMB.report
HHS/CMS
OMB 0938-0842
ICR 202405-0938-009
( )
Forms and Documents
Document
Name
Status
Form CMS-10036 Inpatient Rehabilitation Facility - Patient Assessment Instrument
Form and Instruction
Modified
CMS-10036-Supporting-Statement-A-4.3_Changes to 4.2(F2).docx
Supporting Statement A
2024-05-07
IC Document Collections
IC ID
Document
Title
Status
210555
Inpatient Rehabilitation Facility - Patient Assessment Instrument
Form and Instruction
Modified
ICR Details
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