Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Enrollment Applications Modified 1786732 513435 0 Form and Instruction CMS-855B Medicare Enrollment Application - Clinics/Group Practices and Certain Other Suppliers
Form and Instruction CMS-855I Medicare Enrollment Application - Physicians and Non-Physician Practitioners
Form and Instruction CMS-855A Medicare Enrollment Application - Institutional Providers
Total burden requested under this ICR: 1786732 513435 0  
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