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Quality Assurance for Phase II of the Home Health Agency Prospective Payment Demonstration

IC 8257 under ICR 199804-0938-003 · OMB 0938-0675.

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Quality Assurance for Phase II of the Home Health Agency Prospective Payment Demonstration
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-174 Yes Yes


    

20,520 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 53,352 0 -5,502 0 0 58,854
Annual IC Time Burden (Hours) 6,669 0 -3,483 0 0 10,152
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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