Long Term Care Hospital (LTCH) Quality Reporting Program (CMS-10409)

ICR 202406-0938-002

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-1163 can be found here:

Forms and Documents

Document Name	Status
Form CMS-10409 Long Term Care Data Set Form and Instruction	Modified
CMS-10409-Supporting-Statement-Part-A-5.2_v8_clean.docx Supporting Statement A	2024-06-14

IC Document Collections

IC ID	Document Title	Status
201171	Long Term Care Data Set Form and Instruction	Modified

ICR Details