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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
REQUEST FOR MEDICARE PAYMENT
Migrated
70000000
7000000
0
Form
HCFA-1490S
Form
HCFA-1500,
Form
HCFA-1490
Total burden requested under this ICR:
70000000
7000000
0
To view an IC, click on IC Title