(cms-724) Medicare/medicaid Psychiatric Hospital Survey Data And Supporting Regulations

OMB 0938-0378

The CMS-724 form is used to collect data that is not collected elsewhere and assists CMS in program planning and evaluation needs and in maintaining an accurate database on providers particiapting in the Medicare psychiatric hospital program.

The latest form for (cms-724) Medicare/medicaid Psychiatric Hospital Survey Data And Supporting Regulations expires 2021-02-28 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-724 The Medicare/Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and Supporting Regulations in 42 CFR 482.60, 482.61, and 482.62 Form and Instruction
CMS-724 Supporting Statement A. 02.17.21.docx Supporting Statement A
The Medicare/Medicaid Psychiatric Hospital Survey Data Contained in 42 CFR and Supporting Regulations in 42 CFR 482.60, 482.61, and 482.62 Form and Instruction

All Historical Document Collections

202104-0938-006 Approved with change	Reinstatement without change of a previously approved collection	2021-04-14
201707-0938-010 Approved with change	Extension without change of a currently approved collection	2017-07-21
201403-0938-011 Approved without change	Reinstatement without change of a previously approved collection	2014-03-21
201012-0938-012 Approved without change	Extension without change of a currently approved collection	2010-12-16
200709-0938-006 Approved without change	Extension without change of a currently approved collection	2007-09-25
200406-0938-003 Approved with change	Extension without change of a currently approved collection	2004-06-23
200106-0938-012 Approved without change	Extension without change of a currently approved collection	2001-06-19
199806-0938-002 Approved without change	Extension without change of a currently approved collection	1998-06-04
199702-0938-009 Approved with change	No material or nonsubstantive change to a currently approved collection	1997-02-28
199508-0938-003 Approved without change	Reinstatement with change of a previously approved collection	1995-08-22
199505-0938-001 Improperly submitted	Reinstatement with change of a previously approved collection	1995-05-04
199011-0938-004 Approved with change	No material or nonsubstantive change to a currently approved collection	1990-11-06
199008-0938-004 Approved without change	Revision of a currently approved collection	1990-08-27
198708-0938-002 Approved without change	Revision of a currently approved collection	1987-08-11
198606-0938-007 Approved without change	Revision of a currently approved collection	1986-06-27
198408-0938-003 Approved without change	New collection (Request for a new OMB Control Number)	1984-08-06