Information Collection Request
Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 (CMS-2540-24)
ICR 202405-0938-031 · OMB 0938-0463 · Received in OIRA
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 Form CMS-2540-24 Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 |
Form | Modified | Repair queued |
 CMS-2540-24 Supporting Statement - final (5-29-24).docx |
Supporting Statement A | Uploaded 2024-06-07 | Repair queued |
| CMS-2540-24.Responses to 60-Day Comments.docx |
Supplementary Document | Uploaded 2024-05-31 | Repair queued |
 CMS-2540-24 Crosswalk.pdf |
Supplementary Document | Uploaded 2024-05-31 | Missing upstream |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 8084 |  Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 |
Form | Modified |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0463 |
| Type of Information Collection | Reinstatement with change of a previously approved collection |
| Previous ICR Reference No | 201806-0938-010 |
| Agency Tracking No | CM-FFS |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |