Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
GENERAL INTERMEDIATE CARE FACILITY SURVEY REPORT Migrated 6000 54000 0 Form 3070B,
Form 1516
Form 3070D,
Form HCFA-3070
Total burden requested under this ICR: 6000 54000 0  
To view an IC, click on IC Title