Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Integrity Program Organizational Conflict of Interest Disclosure Certificate and Supporting Regulations at 42 CFR 421.310 and 421.312 Migrated 10 2400 0 Form HCFA-R-232
Total burden requested under this ICR: 10 2400 0  
To view an IC, click on IC Title