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Evaluation of the Home Health Pay for Performance Demonstration (CMS-10270)

IC 186977 under ICR 200810-0938-011 · OMB 0938-1064.

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Form and Instruction
Form and Instruction
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Evaluation of the Home Health Pay for Performance Demonstration (CMS-10270)
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10270 Home Health Agencies Survey CMS-10270. Part A Appendix_final.doc Yes Yes Paper Only

Health Health Care Services

 

570 540
   
Private Sector Not-for-profit institutions, 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 570 0 570 0 0 0
Annual IC Time Burden (Hours) 285 0 285 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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