Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations at 42 CFR 412.20-412.30 (CMS-437A&B) Modified 497 497 0 Form and Instruction CMS-437 A
Form and Instruction CMS-437B
Total burden requested under this ICR: 497 497 0  
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