Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
(CMS-R-240) Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.24, 413.65 New 500250 25013 0
(CMS-R-240) Prospective Payments for Hospital Outpatient Services and Supporting Regulations in 42 CFR 413.24, 413.65 Modified 105 1050 0
Total burden requested under this ICR: 500355 26063 0  
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