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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Health Insurance Common Claims Formand Supporting Regulations: 42 CFR 414.40, 424.32, 424.44
Migrated
740215135
44189007
0
Form
CMS-1500
Form
CMS-1490U
Form
CMS-1490S
Total burden requested under this ICR:
740215135
44189007
0
To view an IC, click on IC Title