Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 412.44 Modified 6036 20120 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 412.46 (Provider Burden) New 27000 27000 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 412.46 (QIO Burden) New 27000 54000 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.71 (FI Burden) New 27000 40500 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.71 (QIO Burden) New 27000 13500 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.73 (New QIO only) New 7 28 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.73 (QIO Burden) New 6036 623 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.74(b) New 60 16 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.74(c) New 53 53 0
QIO Assumption of Responsibilities and Supp. Regs. in 42 CFR Sections 476.78(b)(3) New 6036 1006 0
Total burden requested under this ICR: 126228 156846 0  
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