Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospice Survey and Deficiencies Report Form and Supporting Regulations at 42 CFR 488.26(c) and 42 CFR 442.30(a)(4) Migrated 475 5733 0 Form HCFA-643
Total burden requested under this ICR: 475 5733 0  
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