OMB control number
Requests by Hospitals for an Alternative Cost-to-Charge Ratio (CMS-10179)
OMB 0938-1020 · HHS/CMS.
OMB 0938-1020
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Supporting Statement Part B.pdf | Supporting Statement B |
 CMS-10179 Supporting Statement Part A 3-5-10 rev.doc | Supporting Statement A |
 Requirements for Requests by Hospitals for an Alternative Cost-to-Charge Ratio and Supp. Regs. in 42CFR412.84(i)(2),412.525(a)(4)(ii), 412.525(a)(4)(iv)(A), 412.529(c)(3)(ii) and 412.529(c)(3)(iv)(A) |
Information collection |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201006-0938-015 | Extension without change of a currently approved collection | 2010-06-30 | Approved without change | |
| 200701-0938-017 | New collection (Request for a new OMB Control Number) | 2007-01-26 | Approved without change |