OMB.report

Federal forms, ICRs, and supporting documents

OMB control number

Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 (CMS-2540-24)

OMB 0938-0463 · HHS/CMS.

OMB 0938-0463

Form CMS 2540-24 is used by Skilled Nursing Facilities (SNFs) and Skilled Nursing Facility Complexes participating in the Medicare program to report the health care costs to determine the amount of reimbursable costs for services rendered to Medicare beneficiaries.

The latest form for Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 (CMS-2540-24) expires 2027-07-31 and is listed under ICR 202405-0938-031.

Latest Forms, Documents, and Supporting Material

Latest forms, documents, and information collections
DocumentType
Form CMS-2540-24 Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106Form
CMS-2540-24 Supporting Statement - final (5-29-24).docxSupporting Statement A
CMS-2540-24.Responses to 60-Day Comments.docx Supplementary Document
CMS-2540-24 Crosswalk.pdf Supplementary Document
Skilled Nursing Facility and Skilled Nursing Facility Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, and 413.106 Form

All Historical Document Collections

Historical document collections
ReferenceFilingReceivedConcludedAction
202405-0938-031 Reinstatement with change of a previously approved collection 2024-06-07 Approved without change
202404-0938-018 Reinstatement without change of a previously approved collection 2024-04-23 Improperly submitted
201806-0938-010 Extension without change of a currently approved collection 2018-06-29 Approved without change
201509-0938-003 Revision of a currently approved collection 2015-09-03 Approved with change
201408-0938-012 Extension without change of a currently approved collection 2014-08-29 Approved without change
201107-0938-006 Revision of a currently approved collection 2011-07-19 Approved with change
201006-0938-014 Revision of a currently approved collection 2010-06-28 Approved without change
200703-0938-008 Extension without change of a currently approved collection 2007-03-14 Approved without change
200402-0938-013 Extension without change of a currently approved collection 2004-02-20 Approved without change
200103-0938-011 Revision of a currently approved collection 2001-03-20 Approved without change
200009-0938-006 Revision of a currently approved collection 2000-09-15 Approved without change
199812-0938-006 Revision of a currently approved collection 1998-12-08 Approved without change
199705-0938-002 Revision of a currently approved collection 1997-05-23 Approved without change
199603-0938-001 Revision of a currently approved collection 1996-03-12 Approved without change
199410-0938-013 Revision of a currently approved collection 1994-10-18 Approved without change
199206-0938-008 Reinstatement with change of a previously approved collection 1992-06-17 Approved without change
198908-0938-008 Reinstatement with change of a previously approved collection 1989-08-30 Approved without change
198708-0938-018 No material or nonsubstantive change to a currently approved collection 1987-08-12 Approved with change
198602-0938-006 New collection (Request for a new OMB Control Number) 1986-02-13 Approved without change