View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Fire Safety Survey Report Forms (CMS-2786)
 
Yes Modified
 
Mandatory
 
42 CFR 403.744 42 CFR 418.100 42 CFR 485.623 42 CFR 482.41 42 CFR 460.72 42 CFR 483.70 42 CFR 483.470 42 CFR 416.44

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form Fire & Safety Survey Report No No Paper Only
Form CMS-2786S No No Paper Only
Form CMS-2786 M No No Paper Only
Form CMS-2786T No No Paper Only
Form CMS-2786U No No Paper Only
Form CMS-2786V` No No Paper Only
Form CMS-2786W No No Paper Only
Form CMS-2786X No No Paper Only
Form CMS-2786Y No No Paper Only

Health Health Care Services

 

27,900 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 27,900 0 0 0 0 27,900
Annual IC Time Burden (Hours) 2,325 0 0 0 0 2,325
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
Something went wrong when downloading this file. If you have any questions, please send an email to risc@gsa.gov.