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
Functional Assessment Standardized Items (FASI): Round 1
Modified
1570
785
0
Instruction
Form and Instruction
CMS-10243
Consent Form
Form and Instruction
CMS-10243
Functional Assessment Standardized Items (FASI)
Total burden requested under this ICR:
1570
785
0
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