Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Identification of Extension Units of Outpatient Physical Therapy/Outpatient Speech Pathology Providers and Support Regs. (CMS-381) Modified 2960 740 0 Form and Instruction CMS-381
Total burden requested under this ICR: 2960 740 0  
To view an IC, click on IC Title