Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
42 CFR 485.54(a) and (b) Removed 0 0 0
42 CFR 485.56(b) Removed 0 0 0
42 CFR 485.56(c) Removed 0 0 0
42 CFR 485.56(d) Removed 0 0 0
42 CFR 485.56(e) Removed 0 0 0
42 CFR 485.58(c) Removed 0 0 0
42 CFR 485.64(a)(1),(2),(3), (4), (b)(1) and (2) Disaster procedures Modified 274 4384 0
42 CFR 485.64(b)(1) Removed 0 0 0
42 CFR 485.64(b)(2) Removed 0 0 0
42 CFR 485.66(b)(1), (2), and 3(i),(ii) Untilization review plan Modified 274 3562 0
CORF Request for Certification Form - CMS-359 New 40 10 0 Form and Instruction CMS-10282
CORF Survey Report - Form 360 New 40 120 0 Form and Instruction CMS-10282
Total burden requested under this ICR: 628 8076 0  
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