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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
MEDICARE - HOME HEALTH AGENCY - REQUEST FOR CERTIFICATION IN THE MEDICARE/MEDICAID PROGRAM AND THE HOME HEALTH SURVEY REPORT FORM
Migrated
3180
5565
0
Form
HCFA-1572
Form
HCFA-1515
Total burden requested under this ICR:
3180
5565
0
To view an IC, click on IC Title
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The .gov means it's official.
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