OMB control number

Inpatient Rehabilitation Facilities Quality Reporting Program: Program Evaluation

OMB 0938-1241 · HHS/CMS.

OMB 0938-1241

Latest Forms, Documents, and Supporting Material

Document Name
Form CMS-10503 IRF Quality Reporting Program: Program Evaluation Form and Instruction
CMS-10503 Supporting Statement B IRF Programs.docx Supporting Statement B
IRF QRP Program Monitoring PRA package. Response to Public Comment. 02 28 14.docx Supplementary Document
Burden Calculation. IRF Monitoring. 09.11.13.docx Supplementary Document
CMS-10503 Supporting Statement A IRF Programs.docx Supporting Statement A
IRF Quality Reporting Program: Program Evaluation Form and Instruction

All Historical Document Collections

201403-0938-008

2014-03-19