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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title