Conditions of Participation for Critical Access Hospitals and Supporting Regulations (CMS-10239)

OMB 0938-1043

This information collection package is a revision of the approved information collection requirements. With this submission, we have updated our estimates to reflect the current number of facilities and the current BLS salary information. The information collection requirements, as discussed in the attached supporting statement, are needed to implement the Medicare CoPs for 1,233 CAHs.

The latest form for Conditions of Participation for Critical Access Hospitals and Supporting Regulations (CMS-10239) expires 2021-01-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10239 Supporting Statement 10.15.24 final.docx Supporting Statement A
42 CFR 485.649(c)
42 CFR 485.649(b)(2)
42 CFR 485.649(a)(2)
42 CFR 485.641(d)(4)(ii)
42 CFR 485.641(d)(4)
42 CFR 485.641(d)(4)
42 CFR 485.640(d)(2)
42 CFR 485.640(d)(1)
42CFR485.616(c)(40)(iv)
42CFR485.635(a)
42CFR485.635(f)
42CFR485.645(d)
42CFR485.643(a-b)
42CFR485.641
42CFR485.635(c)(3)
42CFR485.631
42CFR485.618 (e)(1)
42CFR485.623(d)(4)

All Historical Document Collections

202410-0938-012	Reinstatement with change of a previously approved collection	2024-10-16
202011-0938-005	Revision of a currently approved collection	2020-11-10
201810-0938-011 Comment filed on proposed rule and continue	Revision of a currently approved collection	2018-10-24
201708-0938-024 Approved without change	Extension without change of a currently approved collection	2017-08-30
201403-0938-015 Approved with change	Revision of a currently approved collection	2014-03-28
201011-0938-004 Approved with change	Revision of a currently approved collection	2010-11-02
200802-0938-003 Approved without change	New collection (Request for a new OMB Control Number)	2008-02-25

OMB Details

42CFR485.623(d)(4)

Federal Enterprise Architecture: Health - Health Care Services