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Discharge And Follow-up Patient Interviews (evaluation Of The Home Health Prospective Payment Demonstration)

IC 114047 under ICR 199110-0938-004 · OMB 0938-0593.

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DISCHARGE AND FOLLOW-UP PATIENT INTERVIEWS (EVALUATION OF THE HOME HEALTH PROSPECTIVE PAYMENT DEMONSTRATION)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-22 No No


    

4,001 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 4,001 0 4,001 0 0 0
Annual IC Time Burden (Hours) 1,225 0 1,225 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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