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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medicare/Medicaid Health Insurance Common Claim Form, Instructions, and Supporting Regulations: 42 CFR 414.40, 424.32, 424.44
Migrated
714391083
44189007
0
Form
HCFA-1490U
Form
HCFA-1490S
Form
HCFA-1500
Total burden requested under this ICR:
714391083
44189007
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
