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 and Other Federal Health Care Programs Provider/Supplier Enrollment Application -- 42 CFR 410.32, 410.71, 413.17, 424.57, 424.73, 424.80, and 484.12
Migrated
225000
435000
0
Form
HCFA-855R
Form
HCFA-855
Form
HCFA-855C
Form
HCFA-855S
Total burden requested under this ICR:
225000
435000
0
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The .gov means it's official.
The site is secure.
