Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MEDICARE - PLAN OF TREATMENT & HOME HEALTH CERTIFICATION, MEDICAL INFORMATION, ADDENDUM TO THE PLAN OF TREATMENT & MEDICAL INFORMATION, & INTERMEDIARY MED. INFOR. REQUEST Migrated 3218927 1475342 0 Form 486, 487,
Form HCFA-485,
Form 488
Total burden requested under this ICR: 3218927 1475342 0  
To view an IC, click on IC Title