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  
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