OMB control number
Inpatient Rehabilitation Facilities Quality Reporting Program: Program Evaluation
OMB 0938-1241 · HHS/CMS.
OMB 0938-1241
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10503 IRF Quality Reporting Program: Program Evaluation | Form and Instruction |
 CMS-10503 Supporting Statement B IRF Programs.docx | Supporting Statement B |
| IRF QRP Program Monitoring PRA package. Response to Public Comment. 02 28 14.docx | Supplementary Document |
| Burden Calculation. IRF Monitoring. 09.11.13.docx | Supplementary Document |
| CMS-10503 Supporting Statement A IRF Programs.docx | Supporting Statement A |
 IRF Quality Reporting Program: Program Evaluation |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201403-0938-008 | New collection (Request for a new OMB Control Number) | 2014-03-19 | Approved with change |