Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Pressure Ulcer Submissions Modified 403988 212160 0 Form and Instruction CMS-10409 LTCH Care Data Set Admissions
Form and Instruction CMS-10409 LTCH Care Data Set Expired
Form and Instruction CMS-10409 LTCH Care Data Set Planned Discharge
Form and Instruction CMS-10409 LTCH Care Data Set Unplanned Discharge
Total burden requested under this ICR: 403988 212160 0  
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