Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
DATA COLLECTION FOR ADMINISTERING THE MEDICARE CONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) INSTRUMENT (IRF) New 16296 12214 0 Form and Instruction CMS-10243 CARE Tool
DATA COLLECTION FOR ADMINISTERING THE MEDICARE CONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) INSTRUMENT (volunteers) New 149940 112500 0 Form and Instruction CMS-10243 CARE Tool
DATA COLLECTION FOR ADMINISTERING THE MEDICARECONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) INSTRUMENT (Acute) New 28440 15642 0 Form and Instruction CMS-10243 CARE Tool
DATA COLLECTION FOR ADMINISTERING THE MEDICARECONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) INSTRUMENT (HHA) New 37008 27769 0 Form and Instruction CMS-10243 CARE Tool
DATA COLLECTION FOR ADMINISTERING THE MEDICARECONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) INSTRUMENT (LTCH) New 5302 3975 0 Form and Instruction CMS-10243 CARE Tool
DATA COLLECTION FOR ADMINISTERING THE MEDICARECONTINUITY ASSESSMENT RECORD AND EVALUATION (CARE) INSTRUMENT (SNF) New 7248 7241 0 Form and Instruction CMS-10243 CARE Tool
Total burden requested under this ICR: 244234 179341 0  
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