Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Advance Beneficiary Notice of Noncoverage (ABN) and Supporting Regulations in 42 CFR 411.404 and 411.408 Modified 40302506 4701959 0 Instruction
Form CMS-R-131 Advance Beneficiary Notice of Noncoverage (ABN)
Total burden requested under this ICR: 40302506 4701959 0  
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