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
Hospice Voluntary Quality Data Reporting Form
Removed
0
0
0
Form and Instruction
CMS-10390
User Guide for Hospice Quality Reporting Data Entry Site
Submission of Hospice Quality Reporting Program Quality Data using a web based data entry form
New
3632
657392
0
Form and Instruction
CMS-10390
Hospice Data Submission Form
Total burden requested under this ICR:
3632
657392
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
