PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (Beneficiary)
Modified
26827
6707
0
Other-Redline
Form and Instruction
CMS-1696
Appointment of Representative
Appointment of Representative and Supporting Regulations in 42 CFR 405.910 (Provider Supplier)
New
241441
60360
0
Other-Redline
Form and Instruction
CMS-1696
Appointment of Representative
Total burden requested under this ICR:
268268
67067
0
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The .gov means it's official.
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