CMS-10036-Supporting-Statement-A-4.3_Changes to 4.2(F2)
CMS-10036-Supporting-Statement-A-4.3_Changes to 4.2(F2).docx
IRF-PAI for the collection of data pertaining to the Inpatient Rehabilitation Facility Prospective Payment System and Quality Reporting Program (CMS-10036)
OMB: 0938-0842
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 0938-0842 can be found here: