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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Data Use Agreement Information Collection Requirements, model language, and supporting regulations in 42 CFR Section 5b
Migrated
1500
750
0
Form
HCFA-R-235
Total burden requested under this ICR:
1500
750
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
