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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Appointment of Representative and Supporting Regulations in 42 CFR 405.910
Modified
5455461
6819
0
Form and Instruction
CMS-1696 English
APPOINTMENT??OF??REPRESENTATIVE
Form and Instruction
CMS--1696 SP
NOMBRAMIENTO DE REPRESENTANTE
Total burden requested under this ICR:
5455461
6819
0
To view an IC, click on IC Title