Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5 Modified 181909654 1567455 0 Form and Instruction CMS-1450 CMS-1450.UB04 - Back
Form CMS-1450 CMS-1450.UB04-front
Total burden requested under this ICR: 181909654 1567455 0  
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