Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations at 42 CFR 412.20-412.30 (CMS-437A&B) Modified 1164 291 0 Form and Instruction CMS-437A
Form and Instruction CMS-437B
Total burden requested under this ICR: 1164 291 0  
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