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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 AND HOME HEALTH CERTIFICATION FORM, MEDICAL INFORMATION FORM, ADDENDUM TO THE POT AND MIF FOR, AND INTERMEDIARY MEDICAL INFORMATION REQUEST
Migrated
2654386
1216599
0
Form
HCFA-485,
Form
488
Form
486, 487,
Total burden requested under this ICR:
2654386
1216599
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
