Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PAPERWORK BURDEN ASSOCIATED WITH PORTABLE X-RAY SURVEY AND REQUEST FOR CERT. AS PORTABLE X-RAY SUPPLIER UNDER THE MEDICARE AND/OR MEDICAID PROGRAM Migrated 138 736 0 Form HCFA-R-14
Form HCFA-1880
Total burden requested under this ICR: 138 736 0  
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