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  
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