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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
PLAN OF TREATMENT (POT) & HOME HEALTH CERTIFICATION FORM, HCFA-485 MEDICAL INFORMATION FORM (MIF), HCFA-486 ADDENDUM TO THE POT & MIF, HCFA-487, & INTERMEDIARY MED., HCFA-488
Migrated
1
1
0
Form
HCFA-485,
Form
488
Form
486, 487,
Total burden requested under this ICR:
1
1
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
