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
HEALTH MAINTENANCE ORGANIZATION STATEMENT OF REIMBURSABLE COSTS
Migrated
570
23320
0
Form
HCFA-276
Total burden requested under this ICR:
570
23320
0
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The .gov means it's official.
The site is secure.
