Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 Modified 540 54000 0 Instruction
Form CMS-2088-92 Outpatient Rehabilitation Provider Cost Report Identification Data, Certification and Settlement Summary
Total burden requested under this ICR: 540 54000 0  
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