OMB control number
Long Term Care Hospitals Quality Reporting Program: Program Evaluation
OMB 0938-1242 · HHS/CMS.
OMB 0938-1242
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10502 Long Term Care Hospitals Quality Reporting Program: Program Evaluation | Form and Instruction |
 CMS-10502 Supporting Statement B LTCH.docx | Supporting Statement B |
| Burden Calculation.LTCH Monitoring. 09.05.13.docx | Supplementary Document |
| CMS-10502 Supporting Statement A LTCH.docx | Supporting Statement A |
 Long Term Care Hospitals Quality Reporting Program: Program Evaluation |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201403-0938-007 | New collection (Request for a new OMB Control Number) | 2014-03-18 | Approved with change |