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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-I)
Modified
6310
18930
0
Form and Instruction
CMS-3070G
Intermediate Care Facilities for Individuals with Intellectual Disabilities Survey Report
Form and Instruction
CMS-3070H
Intermediate Care Facilities for Individuals with Intellectual Disabilities Deficiencies Report
Form and Instruction
CMS-370I
Individual Observation Worksheet
Total burden requested under this ICR:
6310
18930
0
To view an IC, click on IC Title