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

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

OMB: 0938-0675

IC ID: 8257

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

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

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy