View Information Collection (IC)

View Information Collection (IC)

Hospitals and Health Care Complex Cost Report (CMS-2552-10) 2552-10
No Modified
42 CFR 413.20 42 CFR 413.24

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-2552-10 COST REPORT WORKSHEET CMS-2552-10.R14P240(Form).pdf Yes Yes Fillable Fileable
Instruction CMS-2552-10.R14P240(Instructions).pdf Yes Yes Fillable Fileable

Health Health Care Services


6,088 0
Private Sector Businesses or other for-profits, Not-for-profit institutions
   100 %

  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 6,088 0 0 -69 0 6,157
Annual IC Time Burden (Hours) 4,097,224 0 0 -46,437 0 4,143,661
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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