Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Insurance Common Claims Forms and Supportiing Regulations in 42 CFR 414.40, 424.32, and 424.44 Migrated 717876097 44460460 0 Form HCFA-1500
Form HCFA-1490S
Form HCFA-1490U
Total burden requested under this ICR: 717876097 44460460 0  
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