Information Collection

Hospitals and Health Care Complex Cost Report (CMS-2552-10)

IC 7814 under ICR 201008-0938-007 · OMB 0938-0050.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0050 can be found here:

Documents and Forms

Document Name Document Type
2552-10SPECS.zip Other-Specs
2552-10FORMS-1.zip Other-2552-10FORMS
2552-10 Instructions.zip Other-2552-10 Instructions

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Hospitals and Health Care Complex Cost Report (CMS-2552-10)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 413.24 42 CFR 413.20

Information Collection Instruments:

Document Type	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-Specs	2552-10SPECS.zip	Yes	Yes	Printable Only
Other-2552-10FORMS	2552-10FORMS-1.zip	Yes	Yes	Paper Only
Other-2552-10 Instructions	2552-10 Instructions.zip	Yes	Yes	Paper Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 6,174	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 95 %

	Approved	Previously Approved
Annual Number of Responses for this IC	6,174	6,174
Annual IC Time Burden (Hours)	4,155,102	4,155,102
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.