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 11563 2613238 0 Form CMS-1728-94 Home Health Agency Cost Report Certification and Settlement Summary
Instruction
Total burden requested under this ICR: 11563 2613238 0  
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