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View Information Collection (IC)

View Information Collection (IC)

Identification of Extension Units of Outpatient Physical Therapy/Outpatient Speech Pathology Providers and Support Regs. (CMS-381)
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 485.701-485.729

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-381 Yes Yes Fillable Fileable

Health Health Care Services

 

506 0
   
Private Sector Businesses or other for-profits
 
   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 506 0 63 0 0 443
Annual IC Time Burden (Hours) 253 0 142 0 0 111
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Tracked changes 06/12/2024
Crosswalk 06/12/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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