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Nature, Process, And Modes Of Hospice Care Delivery Hospice Survey Profile And Hospice Assessment And Survey

IC 113707 under ICR 198506-0938-012 · OMB 0938-0432.

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NATURE, PROCESS, AND MODES OF HOSPICE CARE DELIVERY HOSPICE SURVEY PROFILE AND HOSPICE ASSESSMENT AND SURVEY
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-494 No No


    

120 0
   
Individuals or Households
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 120 0 120 0 0 0
Annual IC Time Burden (Hours) 1,613 0 1,613 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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