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: 200210-0938-001
Status: Historical Active	Previous ICR Reference No: 200205-0938-015
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: Extension without change of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 12/04/2002
	Date Received in OIRA: 10/01/2002
Terms of Clearance: This information collection request is approved for an additional three years. However, CMS must ensure that it remains consistent with applicable regulatory requirements concerning swing beds. If any changes become necessary, CMS will submit a revised package for OMB review and approval.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/2005	12/31/2005	12/31/2002
Responses	156,480	0	156,480
Time Burden (Hours)	132,360	0	132,360
Cost Burden (Dollars)	6,395,000	0	6,395,000

ICR Summary of Burden

	Total Approved	Previously Approved
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: No

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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