OMB.report

Federal forms, ICRs, and supporting documents

Information Collection Request

(CMS-437A and 437B) Rehabilitation Unit Criteria Work Sheet and Rehabilitation Hospital Criteria Work Sheet and Supporting Regulations

ICR 202303-0938-006 · OMB 0938-0986 · Received in OIRA

Forms and Documents
Document
Name
Status
Form and Instruction
 Modified
Supplementary Document
2023-03-31
Supporting Statement A
2023-04-20
IC Document Collections
IC ID
Document
Title
Status
8848 Modified
ICR Details
StatusReceived in OIRA
Agency/SubagencyHHS/CMS
OMB Control No0938-0986
Type of Information CollectionReinstatement with change of a previously approved collection
Previous ICR Reference No201906-0938-011
Agency Tracking NoCCSQ
Date Submitted to OIRA1969-12-31
Requested Expiration Date1969-12-31