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 4905042 4169286 0 Form and Instruction CMS-10387 Nursing Home PPS (NP) Item Set
Form and Instruction CMS-10387 Nursing Home and Swing Bed OMRA (NO/SO) Item Set
Form and Instruction CMS-10387 Long-Term Care Facility Resident Assessment Instrument (RAI) User's Manual (Cover Only)
Form and Instruction CMS-10387 Nursing Home Part A PPS Discharge (NPE) Item Set
Form and Instruction CMS-10387 Interim Payment Assessment (IPA) Item Set
Form and Instruction CMS-10387 Proposed Data Elements (60.5 New Elements)
Total burden requested under this ICR: 4905042 4169286 0  
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