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

OMB 0938-0107

OMB 0938-0107

The Form CMS-222-17 cost report is needed to determine program reimbursement and the amount of reasonable cost due to providers for furnishing medical services to Medicare beneficiaries.

The latest form for Independent Rural Health Clinic Cost Report (CMS-222-17) expires 2021-05-31 and can be found here.

Latest Forms, Documents, and Supporting Material
All Historical Document Collections
Reinstatement without change of a previously approved collection 2022-01-06
Approved with change
Revision of a currently approved collection 2017-09-29
Approved without change
Extension without change of a currently approved collection 2014-08-28
Approved with change
Extension without change of a currently approved collection 2011-06-07
Approved without change
Extension without change of a currently approved collection 2008-03-28
Approved without change
Extension without change of a currently approved collection 2005-04-29
Approved without change
Extension without change of a currently approved collection 2002-08-29
Approved without change
Extension without change of a currently approved collection 1999-09-16
Approved without change
Revision of a currently approved collection 1996-07-08
Approved without change
Revision of a currently approved collection 1993-07-28
Approved without change
Reinstatement with change of a previously approved collection 1992-11-30
Approved with change
No material or nonsubstantive change to a currently approved collection 1989-05-05
Approved without change
Revision of a currently approved collection 1988-11-22
Approved without change
Reinstatement with change of a previously approved collection 1986-02-10
Approved without change
Reinstatement with change of a previously approved collection 1983-08-25
Approved without change
Reinstatement with change of a previously approved collection 1982-12-15
Approved without change
New collection (Request for a new OMB Control Number) 1980-08-25

© 2022 OMB.report | Privacy Policy