Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Disclosures to Patients by Certain Hospitals and Critical Access Hospitals and Supporting Regulations in 42 CFR 489.20 (Hospital Disclosure) Modified 10 1 0
Disclosures to Patients by Certain Hospitals and Critical Access Hospitals and Supporting Regulations in 42 CFR 489.20 (Inpatient) Modified 2792244 69806 0
Disclosures to Patients by Certain Hospitals and Critical Access Hospitals and Supporting Regulations in 489.20 (Outpatient) Modified 44675904 1116898 0
Inapplicability of Hospital Disclosure -- 489.20(u)(1) Modified 26 26 0
Physician-ownership of hospitals - medical staff by-laws/policites -411.362(b)(3)(ii)(A) and 489.20(u)(2) Modified 265 530 0
Physician-ownership of hospitals - patient disclosure and staff physician disclosure New 530 530 0
Physician-ownersip of hospitals - physician disclosure (411.362(b)(3)(ii)9A) Modified 10 1 0
Requirements in 411.362(b)(5)(i) and 489.20(w)(2) - Attorney Modified 2557 10228 0
Requirements in 42 CFR 489.20(u)(1) - (Atttorney) Modified 265 1060 0
Requirements in 42 CFR 489.20(u)(1) - (Inpatient) Modified 289380 4823 0
Requirements in 42 CFR 489.20(u)(1) - (Outpatient) Modified 4630080 77168 0
website/public advertising disclosure-- 411.362(b)(3)(ii)(C) and 489.20(u)(1)(ii) New 265 398 0
Total burden requested under this ICR: 52391536 1281469 0  
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