Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MEDICARE COLLECTION OF MEDICAL INFORMATION ON HOME HEALTH SERVICES ON FORMS HCFA 485-487 AND INTERMEDIARY REQUEST_FOR MEDICAL INFORMATION ON CLAIMS TO BE PROCESSED Migrated 6115288 2916992 0 Form THRU 488
Form HCFA-485
Total burden requested under this ICR: 6115288 2916992 0  
To view an IC, click on IC Title