Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Long Term Care Data Set Modified 136650 185101 0 Form and Instruction CMS-10409 LCDS version 5.3 Admission
Form and Instruction CMS-10409 LCDS version 5.3 Expired
Form and Instruction CMS-10409 LCDS version 5.3 Planned Discharge
Form and Instruction CMS-10409 LCDS version 5.3 Unplanned Discharge
Total burden requested under this ICR: 136650 185101 0  
To view an IC, click on IC Title