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Agenda
Reg Review
ICR
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 ON HCFA 488
Migrated
6804000
3402000
0
Form
HCFA 487
Form
HCFA 485
Form
HCFA 486
Form
HCFA 488
Total burden requested under this ICR:
6804000
3402000
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.
