PRA IC List
Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Completion of the Survey CMS-29 Form for state survey agency triennial survey
Modified
1597
532
0
Completion of the initial CMS-29 Form -new RHCs applying to participate in Medicare Program
Modified
290
145
0
Form and Instruction
CMS-29
Verification of Clinic Data - Rural Health Clinic Program
Medical Secretary to complete mailing for all RHCs surveyed
Modified
1597
266
900
Medical Secretary to compulete survey task -RHCs being surveyed
Modified
1597
133
0
New RHCs review the statutory and regulatory law
Modified
290
121
0
Photocopying of CMS-29 and filing by a Medical Secretary
Modified
290
24
0
Preparation for and mailing of the CMS-29 Form to the State agencies
Modified
290
48
0
Total burden requested under this ICR:
5951
1269
900
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
