Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Request for Hearing for Part B Medicare by an Administrative Law Judge and Supporting Regulations in 42 CFR, 498 Subpart D and E Migrated 1000 2500 0 Form HCFA-5011B-U6
Total burden requested under this ICR: 1000 2500 0  
To view an IC, click on IC Title