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 Request for Certification in the Medicare Program and Supporting Regulations contained in 42 CFR Part 489.11 and 489.20
Modified
851
213
0
Form and Instruction
CMS-417
Hospice Request for Certification in the Medicare Program
Total burden requested under this ICR:
851
213
0
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