View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0872	ICR Reference No: 200205-0938-015
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Minimum Data Set (MDS) for Swing Bed Hospitals and Supporting Regulations in 42 CFR 483.20 and 413.337
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR: No
Type of Review Request: Emergency	Approval Requested By: 06/17/2002
OIRA Conclusion Action: Approved with change	Conclusion Date: 06/28/2002
	Date Received in OIRA: 05/31/2002
Terms of Clearance: This information collection request is approved consistent with the following terms of clearance: (1) CMS will display the OMB number, expiration date and burden statement (2) CMS will ensure that data elements and methodologies used are consistent with the requirements of the July 31, 2001 regulation, as well as other applicable statutes and regulations, and (3) CMS will resubmit this package in accordance with PRA requirements.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2002	12/31/2002
Responses	156,480	0	0
Time Burden (Hours)	132,360	0	0
Cost Burden (Dollars)	6,395,000	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion
Annual Number of Responses	156,480	156,480
Annual Time Burden (Hours)	132,360	132,360
Annual Cost Burden (Dollars)	6,395,000	6,395,000

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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