Ambulatory Surgical Centers Conditions of Coverage (416.50)(a)(3)

Ambulatory Surgical Centers Conditions of Coverage (CMS-10279)

OMB: 0938-1071

IC ID: 189557

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Ambulatory Surgical Centers Conditions of Coverage (416.50)(a)(3)
No Modified
Required to Obtain or Retain Benefits
42 CFR 416.50(a)(3)

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

Health Health Care Services


6,257 0
Private Sector Not-for-profit institutions, Businesses or other for-profits
   0 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 6,257 0 700 0 5,557 0
Annual IC Time Burden (Hours) 18,771 0 2,100 0 16,671 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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