Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
484.100(a) - existing New 11930 994 0
484.100(a) - new agencies New 549 549 0
484.105(h) New 65 98 0
484.105(h) - existing New 6930 3465 0
484.110(a) - content of clinical records New 17751840 1479320 0
484.50(a) existing agencies New 11930 11930 0
484.50(a) new agencies New 65 520 0
484.50(e) New 512820 42735 0
484.60(a) care planning New 14268280 1189023 0
484.65(e) - quality assessment and performance New 6930 27720 0
484.80(a) New 23860 1988 0
484.80(b) - home health aide classroom and practical training New 23860 1988 0
484.80(c) - compentency evaluation New 23860 1988 0
484.80(d) - in-service training New 286320 23860 0
Total burden requested under this ICR: 32929239 2786178 0  
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