Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
"MEDICARE", INFORMATION COLLECTION REQUIREMENTS IN 405.2112, 405.2123, 405.2134, 405.2136, 405.2137, 405.2138, 405.2139, 405.2140 AND 405.2171 Migrated 2000 9000 0 Form HCFA-R-52
Total burden requested under this ICR: 2000 9000 0  
To view an IC, click on IC Title