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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 BY ORGANIZATIONS WHICH QUALIFY TO RECEIVE PAYMENT FOR PAID BILLS
Migrated
121000000
15266667
0
Form
1490-S
Form
1490-U
Form
HCFA-1500
Total burden requested under this ICR:
121000000
15266667
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
