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 Cost Report and Supporting Regulations in 42 CFR 413.20, 413.24, 413.106
Modified
5069
892144
0
Instruction
Form
CMS-1728-94
HOME HEALTH AGENCY COST REPORT CERTIFICATION AND SETTLEMENT SUMMARY
Instruction
Instruction
Instruction
Instruction
Total burden requested under this ICR:
5069
892144
0
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