OMB control number

Skilled Nursing Facility Survey Form

OMB 0938-0404 · HHS/CMS.

OMB 0938-0404

Latest Forms, Documents, and Supporting Material

Document Name
SKILLED NURSING FACILITY SURVEY FORM Form

All Historical Document Collections

198509-0938-014 Approved with change	No material or nonsubstantive change to a currently approved collection	1985-09-20
198501-0938-016 Approved without change	New collection (Request for a new OMB Control Number)	1985-01-28