Information Collection List

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