OMB control number
Evaluation of Home Health Independence Demonstration: Home Health Agency Survey
OMB 0938-1006 · HHS/CMS.
OMB 0938-1006
Latest Forms, Documents, and Supporting Material
| Document | Type |
|---|---|
 Form CMS-10201 Evaluation of Home Health Independence Demonstration: Home Health Agency Survey | Form and Instruction |
| Form CMS-10201 Evaluation fo Home Health Independence Demonstration: Survey of Home Health Agencies | Form and Instruction |
| CMS-10201.Supporting Statement Part B (Statistical Methods).doc | Supporting Statement B |
 CMS-10201.Beacon Health Comments.pdf | Supplementary Document |
| CMS-10201 Response_to_Public_Comments.doc | Supplementary Document |
| CMS-10201.REVISED Emergency Justification.doc | Supplementary Document |
| CMS-10201.Supporting Statement and Instrument (final).pdf | Supporting Statement A |
 Evaluation of Home Health Independence Demonstration: Home Health Agency Survey |
Form and Instruction |
| Evaluation fo Home Health Independence Demonstration: Survey of Home Health Agencies |
Form and Instruction |
All Historical Document Collections
| Reference | Filing | Received | Concluded | Action |
|---|---|---|---|---|
| 200610-0938-001 | New collection (Request for a new OMB Control Number) | 2006-10-03 | Approved without change |