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Home Health Face-to-Face Encounter Clinical Templates (CMS-10564)
OMB 0938-1318
OMB.report
HHS/CMS
OMB 0938-1318
OMB 0938-1318
Latest Forms, Documents, and Supporting Material
Document
Name
Form CMS-10564 Physician Annual Burden for Completing the Electronic and Paper Clinical Template
Form and Instruction
CMS-10564 Supporting Statement Part A - FINAL 11-30-16.docx
Supporting Statement A
Revision to Form CMS 10564 Home Health .docx
Supplementary Document
Final Responses to HH Template PRA Comments.docx
Supplementary Document
Physician Annual Burden for Completing the Electronic and Paper Clinical Template
Form and Instruction
All Historical Document Collections
201512-0938-012
Approved with change
New collection (Request for a new OMB Control Number)
2015-12-29
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