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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P
Modified
59200
50320
0
Form
CMS-10036
IRF PAI Instrument
Instruction
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P
Modified
3330
2831
0
Form
CMS-10036
IRF PAI Instrument
Instruction
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P (CMS-10036)
Modified
424020
360417
0
Form
CMS-10036
IRF PAI Instrument
Instruction
Total burden requested under this ICR:
486550
413568
0
To view an IC, click on IC Title