PRA IC List
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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 AGENCY STATEMENT OF REIMBURSABLE COST
Migrated
2800
48300
0
Form
HCFA-1728,
Form
1729
Form
1728A, &
Total burden requested under this ICR:
2800
48300
0
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