Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HOME HEALTH AGENCY (HHA) MEDICARE AND MEDICAID SURVEY REPORT FORMS FOR REVISED HHA CONDITIONS OF PARTICIPATION Migrated 5700 14250 0 Form HCFA-1572
Form HCFA-1515
Total burden requested under this ICR: 5700 14250 0  
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