OMB control number

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

OMB 0938-0378 · HHS/CMS.

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 is listed under ICR 201707-0938-010.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
Document	Type
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All Historical Document Collections

Historical document collections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