Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare/Medicaid Disclosure of Ownership and Financial Control Interest Statement and Supporting Regulations Contained in 42 CFR 420.200-.206 and 455.100-.106 Migrated 92000 46000 0 Form HCFA-1513
Total burden requested under this ICR: 92000 46000 0  
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