Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Health Care Provider Enrollment Application and Supporting Regulations -- 42 CFR 405.2401; 410.40, .69; 491.2; 414.451, .52, .56, .60; 424.57, .73; 440.30 Migrated 165000 370000 0 Form 855C
Form 855G
Form 855S
Form 855
Total burden requested under this ICR: 165000 370000 0  
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