Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
AMBULATORY SURGICAL CENTER REQUEST FOR CERTIFICATION AND SURVEY REPORT FORM, AND THE PAPERWORK REQUIREMENTS IN 42 CFR 416.43 AND 416.47 Migrated 215 2308 0 Form HCFA-R-54
Form 378
Form HCFA-377
Total burden requested under this ICR: 215 2308 0  
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