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 - ATTENDING PHYSICIAN'S STATEMENT AND DOCUMENTATION OF MEDICARE EMERGENCY
Migrated
1500
375
0
Form
HCFA-1771
Total burden requested under this ICR:
1500
375
0
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The .gov means it's official.
The site is secure.
