Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HH Demo for Mailed Requests (Illinois, Florida, Texas) Removed 0 0 0 Instruction
HH Demo - Home Health Agency Education (Illinois, Florida, Texas) Removed 0 0 0 Instruction
HH Demo Fax and Electronic Submissions and Resubmissions (16 States) Modified 1461477 730739 0 Instruction
HH Demo for Mailed Requests (16 States) Modified 730739 365370 3653695 Instruction
HH Demo - Home Health Agency Education (16 States) Modified 13221 39663 0 Instruction
HH Demo Fax and Electronic Submissions and Resubmissions (Illinois, Florida, Texas) Removed 0 0 0
Total burden requested under this ICR: 2205437 1135772 3653695  
To view an IC, click on IC Title