Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Hospital Insurance and Supporting Regulations in 42 CFR 406.6, 406.7,406.10,406.11 and 406.20 Modified 50000 12495 0 Form and Instruction CMS-18F5SP
Form and Instruction CMS-18F5
Total burden requested under this ICR: 50000 12495 0  
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