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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Long Term Care Data Set
Modified
293184
135128
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:
293184
135128
0
To view an IC, click on IC Title