Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare and Other Federal Health Care Programs Provider/Supplier Enrollment Application Migrated 225000 435000 0 Form HCFA-855C
Form HCFA-855
Form HCFA-855R
Form HCFA-855S
Total burden requested under this ICR: 225000 435000 0  
To view an IC, click on IC Title