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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
97619744
24404936
0
Form
HCFA-1500
Form
1490-S
Form
1490-U
Total burden requested under this ICR:
97619744
24404936
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
