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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Medicare Enrollment Application
Modified
400000
785702
0
Form and Instruction
CMS-855I
CMS-855I
Form and Instruction
CMS-855A
CMS-855A
Form and Instruction
CMS-855B
CMS-855B
Form and Instruction
CMS-855R
CMS-855R
Total burden requested under this ICR:
400000
785702
0
To view an IC, click on IC Title