Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Long Term Care Data Set Modified 272952 121674 0 Form and Instruction CMS-10409 LCDS version 4.00 Admission
Form and Instruction CMS-10409 LCDS version 4.00 Expired
Form and Instruction CMS-10409 LCDS version 4.00 Planned Discharge
Form and Instruction CMS-10409 LCDS version 4.00 Unplanned Discharge
Total burden requested under this ICR: 272952 121674 0  
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