Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Notice of Denial of Medical Coverage (NDMC), and the Notice of Denial of Payment (NDP) - 42 CFR 422.568 (CMS-10003) Modified 1168368 194728 0 Form CMS 10003-NDMC
Instruction
Instruction
Form CMS 10003-NDP
Total burden requested under this ICR: 1168368 194728 0  
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