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
MEDICARE REQUEST FOR CERTIFICATION AS A SUPPLIER OF PORTABLE X-RAY SERVICES AND THE PORTABLE X-RAY SURVEY REPORT FORM
Migrated
160
280
0
Form
1882
Form
HCFA-1880
Total burden requested under this ICR:
160
280
0
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