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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
(Home Health Agencies) Survey of Access to Home Health Services for Medicare Beneficiaries
New
600
150
0
Form
CMS-10429
(Home Health Agencies) Survey of Access to Home Health Services for Medicare Beneficiaries
Other-Cover Letter
Other-Post Card
Other-Letter
Instruction
(Physician) Survey of Access to Home Health Services for Medicare Beneficiaries
New
275
69
0
Other-Post Card
Instruction
Form
CMS-10429
(Physician) Survey of Access to Home Health Services for Medicare Beneficiaries
Other-Cover Letter
Other-Cover Letter
Total burden requested under this ICR:
875
219
0
To view an IC, click on IC Title