Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
MEDICARE, INFORMATION COLLECTION REQUIREMENTS IN 405.2112, 405.2123, 405.2136, 405.2137, 405.2138, 405.2139, 405.2140, AND 405.2171 Migrated 2321 87094 0 Form HCFA-R-52
Total burden requested under this ICR: 2321 87094 0  
To view an IC, click on IC Title