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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 Form and Supporting Regulations at 42 CFR Part 424, Subpart C
Migrated
957204707
46383364
0
Form
CMS-1490S
Form
CMS-1500(12-90)
Form
CMS-1490U
Total burden requested under this ICR:
957204707
46383364
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.
