Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Burden Estimates - Appeals Modified 399154868 1702817 115714242 Instruction
Instruction
Form and Instruction CMS-10338 Adverse Benefit Determination Model Notice
Form and Instruction CMS-10338 Internal Adverse Benefit Determination
Form and Instruction CMS-10338 External Final Decision Model Notice
Total burden requested under this ICR: 399154868 1702817 115714242  
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