OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Community Mental Health Center (CMHC) Cost Report (CMS-2088-17)

OMB 0938-0037 · HHS/CMS.

OMB 0938-0037

In addition, regulations at 42 CFR 413.20 and 413.24 require adequate cost data and cost reports from providers on an annual basis. The Form CMS-2088-17 cost report is needed to determine a provider’s reasonable costs incurred in furnishing medical services to Medicare beneficiaries and reimbursement due to or due from a provider.

The latest form for Community Mental Health Center (CMHC) Cost Report (CMS-2088-17) expires 2028-07-31 and is listed under ICR 202412-0938-015.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-2088-17 Community Mental Health Cost Center ReportForm
Form CMS-2088-17 Community Mental Health Cost (CMHC) ReportForm
CMS-2088-17. 2025 CMHC PRA - Supporting Statement Part A.docxSupporting Statement A
Community Mental Health Cost (CMHC) Report Form
Community Mental Health Cost (CMHC) Report Form
Community Mental Health Cost (CMHC) Report Instruction

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202412-0938-015 Revision of a currently approved collection 2025-01-14
202104-0938-003 Extension without change of a currently approved collection 2021-04-13 Approved without change
201707-0938-013 Reinstatement with change of a previously approved collection 2017-07-27 Approved with change
201401-0938-006 Extension without change of a currently approved collection 2014-01-09 Approved without change
201102-0938-001 Extension without change of a currently approved collection 2011-02-01 Approved without change
200711-0938-012 Extension without change of a currently approved collection 2007-11-21 Approved without change
200411-0938-007 Extension without change of a currently approved collection 2004-11-30 Approved with change
200112-0938-003 Extension without change of a currently approved collection 2001-12-04 Approved without change
199812-0938-005 Revision of a currently approved collection 1998-12-08 Approved without change
199709-0938-002 Extension without change of a currently approved collection 1997-09-03 Approved without change
199410-0938-002 Reinstatement without change of a previously approved collection 1994-10-07 Approved without change
199211-0938-008 Reinstatement with change of a previously approved collection 1992-11-30 Approved without change
198904-0938-049 No material or nonsubstantive change to a currently approved collection 1989-04-25 Approved with change
198904-0938-029 No material or nonsubstantive change to a currently approved collection 1989-04-07 Approved with change
198807-0938-002 Reinstatement with change of a previously approved collection 1988-07-26 Approved without change
198505-0938-007 Reinstatement with change of a previously approved collection 1985-05-14 Approved without change
198403-0938-002 Revision of a currently approved collection 1984-03-05 Approved without change
198305-0938-015 No material or nonsubstantive change to a currently approved collection 1983-05-18 Approved with change
198203-0938-005 No material or nonsubstantive change to a currently approved collection 1982-03-29 Approved with change
198102-0938-010 Revision of a currently approved collection 1981-02-23 Approved without change
198012-0938-006 No material or nonsubstantive change to a currently approved collection 1980-12-31 Approved with change
197905-0938-003 Reinstatement with change of a previously approved collection 1979-05-30 Approved without change
197403-0938-001 New collection (Request for a new OMB Control Number) 1974-03-06 Approved without change