ICR Documents

Supporting Statement A Document Date Uploaded CMS-10390 - Supporting Statement Part A - 33117 Final.docx 03/31/2017 Supporting Statement B Document Date Uploaded Supplementary Documents Title Document Document Type Date Uploaded Burden Change table CMS-10390 - Hospice Item Set V2 Change Table.pdf Supplementary Document 03/15/2017 Burden Calculation Worksheet CMS-10390 Exhibit A FY 2017 Hospice PRA Burden Estimate Calculation Worksheet.pdf Supplementary Document 03/15/2017 Appendix 1 - Response to public comment Appendix 1 - Comments and Response CMS-10390.docx Supplementary Document 03/20/2017 Public Comments Author Name Comment Document Author Affiliation Sponsoring Org. Type Category Date of Comment Date Comment Received McCann , Barbara CMS-2016-0058-DRAFT-0048.pdf Interim Healthcare Inc. Letter Simple 06/20/2016 06/20/2016 Nick , Nick CMS-2016-0058-DRAFT-0043.pdf VITAS Healthcare Letter Simple 10/07/2016 10/07/2016 Nichols, Timothy CMS-2016-0058-DRAFT-0041.doc Hospice and Palliative Care Association of NYS Letter Simple 06/20/2016 06/20/2016 Hankins, Gale CMS-2016-0058-DRAFT-0023.doc Hospice of the Bluegrass Letter Simple 06/17/2016 06/17/2016 Phillips , Dr. Cheryl CMS-2016-0058-DRAFT-0022.pdf Leading Age Letter Simple 06/17/2016 06/17/2016