Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Change of Information Application New 8000 6000 0 Form and Instruction CMS-855(O) Medicare Enrollment Application - fOr EligiblE OrdEring and rEfErringPhySiCianS and nOn-PhySiCian PraCtitiOnErS
Initial Application New 40000 40000 0 Form and Instruction CMS-855(O) Medicare Enrollment Application - fOr EligiblE OrdEring and rEfErringPhySiCianS and nOn-PhySiCian PraCtitiOnErS
Total burden requested under this ICR: 48000 46000 0  
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