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Beneficiary Survey on the Medicare Home Health Independence Demonstration

IC 8813 under ICR 200506-0938-001 · OMB 0938-0956.

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Information Collection (IC) Details

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Beneficiary Survey on the Medicare Home Health Independence Demonstration
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10158 No No


    

750 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 1,500 0 1,500 0 0 0
Annual IC Time Burden (Hours) 1,125 0 1,125 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
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