Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Submission of Hospice Quality Reporting Program Quality Data using a web based data entry form Unchanged 4688 636312 0 Form and Instruction CMS-10390 Hospice Item Set - Descriptions
Form and Instruction CMS-10390 Hospice Item Set - Admissions
Form and Instruction CMS-10390 Hospice Item Set - Discharge
Instruction
Total burden requested under this ICR: 4688 636312 0  
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