Independent Rural Health Clinic Cost Report (CMS-222-17)

ICR 202410-0938-004

OMB: 0938-0107

Federal Form Document

Forms and Documents

Document Name	Status
CMS 222-17 Supporting Statement.docx Supporting Statement A	2024-10-02

IC Document Collections

IC ID	Document Title	Status
7853	Rural Health Clinic Cost Report (CMS-222-17) Instruction	Modified