Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Skilled Nursing Facility (SNF) Minimum Data Set (MDS) 3.0 Nursing Home and Swing Bed Prospective Payment System (PPS) Item Sets (NP, NO/SO, NS, NOD, NSD) Modified 6396416 6608971 0 Form and Instruction CMS-10387 Nursing Home PPS (NP) Item Set
Form and Instruction CMS-10387 Nursing Home OMRA-Start of Therapy and Discharge (NSD) Item Set
Form and Instruction CMS-10387 Nursing Home and Swing Bed OMRA-Start of Therapy (NS/SS) Item Set
Form and Instruction CMS-10387 Nursing Home OMRA-Discharge (NOD) Item Set
Form and Instruction CMS-10387 Nursing Home and Swing Bed OMRA (NO/SO) Item Set
Total burden requested under this ICR: 6396416 6608971 0  
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