PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
REQUEST FOR MEDICARE PAYMENT
Migrated
4900000
901353
0
Form
HCFA-1500
Form
G-740S
Form
G-740B
Total burden requested under this ICR:
4900000
901353
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
