Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MEDICARE - PLAN OF TREATMENT & HOME HEALTH CERTIFICATION FORM, MEDICAL INFORMATION, FORM, ADDENDUM TO THE POT & MIF, AND INTERMEDIARY MEDICAL INFORMATION REQUEST Migrated 6825000 1706250 0 Form 488
Form 486, 487,
Form HCFA-485,
Total burden requested under this ICR: 6825000 1706250 0  
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