Conditions of Participation for Intermediate Care Facilities for Individuals with Intellectual Disabilities (ICFs-IID) (CMS-10777)

OMB 0938-1402

Latest Forms, Documents, and Supporting Material

Document Name
CMS-10777 Supporting Statement__CLEAN_12.10.24.docx Supporting Statement A
Year 3 (IC 1 & IC 3 - New Facilities and IC 2 & IC 4 - All Facilities)
Year 2 (IC 1 & IC 3 - New Facilities and IC 2 and IC 4 - All Facilities)
Year 1 (IC 1 and IC 3) - Existing Facilities

All Historical Document Collections

202506-0938-010	Reinstatement with change of a previously approved collection	2025-06-24
202106-0938-016 Approved without change	New collection (Request for a new OMB Control Number)	2021-06-30