Information Collection

Home Health CY2010 Final Rule, Physician's Burden for Form Completion, Supporting Regulation 424.22(CMS-10311)

IC 191961 under ICR 201007-0938-012 · OMB 0938-1083.

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Information Collection (IC) Details

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IC Title:	Home Health CY2010 Final Rule, Physician's Burden for Form Completion, Supporting Regulation 424.22(CMS-10311)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 424.22 42 CFR 409.44(c) 42 CFR 409.44(b) 42 CFR 409.42(c)(1) 42 CFR 409.42(c)(1)(i) 42 CFR 409.44(c)(2)(i)

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 345,600	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 0 %

	Requested	Previously Approved
Annual Number of Responses for this IC	345,600	345,600
Annual IC Time Burden (Hours)	28,800	28,800
Annual IC Cost Burden (Dollars)	0	0

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