Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HH Demo - Home Health Agency Education (16 States) Modified 4864 14592 0 Instruction
HH Demo Fax and Electronic Submissions and Resubmissions (16 States) Modified 2148235 1074105 0 Instruction
HH Demo for Mailed Requests (16 States) Modified 535040 268527 2675200 Instruction
Total burden requested under this ICR: 2688139 1357224 2675200  
To view an IC, click on IC Title