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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Authorization Form Forms 42 CFR 83.7
Modified
20
1
0
Instruction
Form A 42 CFR 83.9
Modified
30
2
0
Instruction
Form B 42 CFR Part 83.9
Modified
40
200
0
Instruction
Petitiner Requesting Review of Proposed decision no form req/42 CFR 83.9
Modified
5
4
0
Instruction
Petitioner Submission Format other than Form B 42 CFR 83.9
Modified
5
30
0
Instruction
Total burden requested under this ICR:
100
237
0
To view an IC, click on IC Title