Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
The 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 & Supporting Regulations.. Migrated 98 172 0 Form CMS-1882
Form CMS-1880
Total burden requested under this ICR: 98 172 0  
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