OMB control number
Evaluation of the Rural Community Hospital Demonstration
OMB 0938-1253 · HHS/CMS.
OMB 0938-1253
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10508 RCHD Hospital Interview Protocols and Annual Progress Report Template -- public hospitals | Form and Instruction |
| Form CMS-10508 RCHD Evaluation Interview Protocols and Annual Progress Report Tool -- private hospitals | Form and Instruction |
| CMS-10508 supporting_statement 7Nov2013 final.docx | Supporting Statement A |
 RCHD Hospital Interview Protocols and Annual Progress Report Template -- public hospitals |
Form and Instruction |
| RCHD Evaluation Interview Protocols and Annual Progress Report Tool -- private hospitals |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 201402-0938-009 | New collection (Request for a new OMB Control Number) | 2014-02-12 | Approved with change |