(CMS-10279) Ambulatory Surgical Centers Conditions of Coverage

OMB 0938-1071

This information collection package is a request for extension of information collection requirements. With this submission, we have updated the current number of Ambulatory Surgical Centers and wages/salary figures. The information collection requirements, as discussed in the supporting statement, are needed to implement the Medicare and Medicaid Conditions for Coverage for 5557 Ambulatory Surgical Centers.

The latest form for (CMS-10279) Ambulatory Surgical Centers Conditions of Coverage expires 2022-12-31 and can be found here.

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10279 12-2-2019 clean.docx Supporting Statement A
Ambulatory Surgical Centers Conditions of Coverage 416.52(a)
Ambulatory Surgical Centers Conditions of Coverage (416.50)(a)(3)
Ambulatory Surgical Centers Conditions of Coverage (416.50)(a)(1)
Ambulatory Surgical Centers Conditions of Coverage (416.43)
Ambulatory Surgical Centers Conditions of Coverage (416.41)

All Historical Document Collections

201911-0938-005 Approved with change	Revision of a currently approved collection	2019-11-15
201810-0938-002 Comment filed on proposed rule and continue	Revision of a currently approved collection	2018-10-10
201704-0938-009 Approved with change	Extension without change of a currently approved collection	2017-04-28
201309-0938-020 Approved without change	Reinstatement with change of a previously approved collection	2013-09-18
200906-0938-008 Approved without change	New collection (Request for a new OMB Control Number)	2009-06-15

OMB Details

Ambulatory Surgical Centers Conditions of Coverage (416.41)

Federal Enterprise Architecture: Health - Health Care Services