Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HOME HEALTH AGENCY (HHA) MEDICARE AND MEDICAID SURVEY REPORT, FORMS FOR HHA CONDITIONS OF PARTICIPATION Migrated 6900 103500 0 Form HCFA-1515
Form 1572, 36 U3
Form 36 SP
Total burden requested under this ICR: 6900 103500 0  
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