Hospice Conditions of Participation 418.58 Phase 1

Hospice Conditions of Participation (CMS-10277)

OMB: 0938-1067

IC ID: 211889

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Hospice Conditions of Participation 418.58 Phase 1
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 418.58

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

Health Health Care Services

 

280 110
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 1,120 0 0 680 440 0
Annual IC Time Burden (Hours) 3,360 0 0 2,040 1,320 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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