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Agenda
Reg Review
ICR
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
To view an IC, click on IC Title