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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
INFORMATION COLLECTION REQUIREMENTS IN HSQ-111-F, PRO RECONSIDERATIONS & APPEALS, 42 CFR 473.18(A) & (B), 473.34 (A) & (B), 473.36(A) & (B) AND 473.42(A)
Migrated
4320
8781
0
Form
HCFA-R-72
Total burden requested under this ICR:
4320
8781
0
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