Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Review Choice Demonstration for Inpatient Rehabilitation Facility Services New 179910 91533 5983807 Form and Instruction CMS-10765 Review Choice Demonstration for Inpatient Rehabilitation Facility Services
Total burden requested under this ICR: 179910 91533 5983807  
To view an IC, click on IC Title