Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Inpatient Rehabilitation Facility - Patient Assessment Instrument New 359000 197080 0 Form and Instruction CMS-10036 Voluntary/Mandatory Items
Form and Instruction CMS-10036 IRF-PAI instrument
Inpatient Rehabilitation Facility Patient Assessment Instrument (IRF-PAI) data and Supporting Regulations in 42 CFR 412 Subpart P Removed 0 0 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 Removed 0 0 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) Removed 0 0 0 Form CMS-10036 IRF PAI Instrument
Instruction
Total burden requested under this ICR: 359000 197080 0  
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