Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HH Demo - Home Health Agency Education (Illinois, Florida, Texas) New 5208 15624 0 Instruction
HH Demo - Home Health Agency Education (Michigan and Massachusetts) New 795 2385 0 Instruction
HH Demo Fax and Electronic Submissions and Resubmissions (Illinois, Florida, Texas) New 2387221 1193611 0
HH Demo Fax and Electronic Submissions and Resubmissions (Michigan and Massachusetts) New 414708 207354 0 Instruction
HH Demo for Mailed Requests (Illinois, Florida, Texas) New 125643 62822 628215 Instruction
HH Demo for Mailed Requests (Michigan and Massachusetts) New 21828 10914 109140 Instruction
Total burden requested under this ICR: 2955403 1492710 737355  
To view an IC, click on IC Title