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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
MPAF Data and Supporting Regulations in 42 CFR Sections 413.337, 413.343, 424.32 and 483.20
New
187170
132011
0
Form
CMS-R-250
MDS Medicare PPS Assessment Form
Other-Form page 2
Other-Form page 3
Other-Form page 4
Other-Form page 5
MPAF Data and Supporting Regulations in 42 CFR Sections 413.337, 413.343, 424.32 and 483.20
New
765
540
0
Form
CMS-R-250
MDS Medicare PPS Assessment Form
Other-Form page 2
Other-Form page 3
Other-Form page 4
Other-Form page 5
SNF Resident Assessment MDS Data and Supporting Regulations at 42 CFR 413.337, 413.343 and 424.32, and 483.20
Modified
3647010
2572236
0
Form
CMS-R-250
MDS Medicare PPS Assessment Form
Other-Form page 2
Other-Form page 3
Other-Form page 4
Other-Form page 5
Total burden requested under this ICR:
3834945
2704787
0
To view an IC, click on IC Title