Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare+Choice Beneficiary Appeal Notices, "Notice of Denial of Medical Services", "Notice of Denial of Request for Payment" and Supporting Regulations in 42 CFR 422.568 Migrated 29892 2994 0 Form HCFA-10003
Total burden requested under this ICR: 29892 2994 0  
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