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
Electronic Visit Verification (EVV) Compliance Survey
Modified
20
20
0
Instruction
Form
CMS-10680
EVV Home Health Care Services (HHCS) Survey
Form
CMS-10680
EVV Personal Care Services (PCS) Survey
Total burden requested under this ICR:
20
20
0
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