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
Request for Certification as a Supplier of Portable X-Ray and Portable X-Ray Survey Report Form under the Medicare/Medicaid Program; Portable X-Ray Survey Report and Supporting....
Migrated
98
172
0
Form
HCFA-1880
Form
HCFA-1882
Total burden requested under this ICR:
98
172
0
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