Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY ELIGIBILITY & SURVEY FORMS AND INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 488.56, 488.58, 488.60, 488.64, 488.66 AND 405.262 Migrated 100 47185 0 Form HCFA-359
Form HCFA-R-55
Form 360
Total burden requested under this ICR: 100 47185 0  
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