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: 200510-0938-006
Status: Historical Active	Previous ICR Reference No: 200210-0938-001
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: Revision of a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 11/29/2005
	Date Received in OIRA: 10/14/2005
Terms of Clearance: The agency must submit the link and a screen shot to OMB of the PRA disclosure available online by December 15, 2005.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2008	11/30/2008	12/31/2005
Responses	92,789	0	156,480
Time Burden (Hours)	51,314	0	132,360
Cost Burden (Dollars)	100,000	0	6,395,000

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	92,789	156,480	-63,691
Annual Time Burden (Hours)	51,314	132,360	-81,046
Annual Cost Burden (Dollars)	100,000	6,395,000	-6,295,000

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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