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  
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