Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Enrollment Applications Modified 1733400 289391 0 Form and Instruction 855B Medicare Enrollment Application - Clinics/group Practices and Certain Other Suppliers
Form and Instruction 855I Medicare Enrollment Application -Physicians and Non-Physician Practitioners
Form and Instruction CMS-855 Medicare Enrollment Application
Total burden requested under this ICR: 1733400 289391 0  
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