Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Pressure Ulcer Submissions Modified 263000 43500 0 Form and Instruction CMS-10409 LTCH CARE Data Set_Planned Discharge_v1.01
Form and Instruction CMS-10409 LTCH CARE Data Set_Unplanned Discharge_v1.01
Form and Instruction CMS-10409 LTCH CARE Data Set_Admission_v1.01
Form and Instruction CMS-10409 LTCH CARE Data Set_Expired_v1.01
Total burden requested under this ICR: 263000 43500 0  
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