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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
HOME HEALTH AGENCY MEDICAL INFORMATION FORM, AND INTERMEDIARY MEDICAL INFORMATION REQUEST FORM
Migrated
2654386
1166599
0
Form
HCFA 443
Form
444
Total burden requested under this ICR:
2654386
1166599
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
