Hospice Conditions of Participation (418.110 - annual)

Hospice Conditions of Participation and Physician Narrative on the Certification or Recertification of Terminal Illness (42 CFR 418.22(b)(3))

OMB: 0938-1067

IC ID: 189582

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Hospice Conditions of Participation (418.110 - annual)
 
No New
 
Required to Obtain or Retain Benefits
 
42 CFR 418.110

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

Health Health Care Services

 

2,872 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 2,872 2,872 0 0 0 0
Annual IC Time Burden (Hours) 47,943 47,943 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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