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
STATE AGENCY WORK SHEETS FOR VERIFYING EXCLUSIONS FROM THE PROSPECTIVE PAYMENT SYSTEM
Migrated
2537
634
0
Form
B
Form
HCFA-437, A
Total burden requested under this ICR:
2537
634
0
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