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Hospice Conditions of Participation 418.22(b) Certification Form Development

IC 277315 under ICR 202604-0938-016 · OMB 0938-1067.

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Hospice Conditions of Participation 418.22(b) Certification Form Development
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 418.22(b)

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

Health Health Care Services

 

546 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   0 %

  Requested 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 546 0 0 0 0 546
Annual IC Time Burden (Hours) 546 0 0 0 0 546
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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