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Information Collection

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

IC 7814 under ICR 202506-0938-007 · OMB 0938-0050.

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Form
Instruction
Instruction
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Information Collection (IC) Details

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Hospitals and Health Care Complex Cost Report (CMS-2552-10) 2552-10
 
No Modified
 
Mandatory
 
42 CFR 413.24 42 CFR 413.17 42 CFR 413.20

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 2552-10 Hospital and Health Care Complex Cost Report 2552-10 Form.xlsx Yes Yes Fillable Fileable
Instruction 2552-10 Instructions.docx Yes Yes Fillable Fileable

Health Health Care Services

 

6,044 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 6,044 0 -31 0 0 6,075
Annual IC Time Burden (Hours) 4,079,700 0 -14,850 0 0 4,094,550
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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