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
HH Demo - Home Health Agency Education (16 States)
Modified
4700
14100
624348
Instruction
HH Demo Fax and Electronic Submissions and Resubmissions (16 States)
Modified
2538413
1269207
56200463
Form
CMS-10599
Home Health Instrument
HH Demo for Mailed Requests (16 States)
Modified
634603
317301
17223132
Instruction
Total burden requested under this ICR:
3177716
1600608
74047943
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