Hospice Condition of Participation (418.22(b)(4) and (b)(5)

Hospice Conditions of Participation (CMS-10277)

OMB: 0938-1067

IC ID: 195469

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Hospice Condition of Participation (418.22(b)(4) and (b)(5)
 
No Modified
 
Mandatory
 
42 CFR 418.22(b)(4) and (b)(5)

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

Health Health Care Services

 

4,362 3,727
   
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 3,143,155 0 0 351,101 2,792,054 0
Annual IC Time Burden (Hours) 26,192 0 0 2,924 23,268 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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