Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Home Health Services Under Hospital Insurance, Manual Instructions and Supporting Regulations in 42 CFR 409.40 - 50, 410.36, 410.170, 411.4-.15, 421.100, 424.22, 484.18 and 489.21 Migrated 4750000 1583333 0 Form CMS-485
Total burden requested under this ICR: 4750000 1583333 0  
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