Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Provider-Preventable Conditions under 42 CFR 438.6(f)(2) New 48 384 0
Provider-Preventable Conditions under 42 CFR 447.26(c)(2) New 55 1320 0
Provider-Preventable Conditions under 447.26(c)(1) and Payment for Services Preprint New 55 385 0 Other-CMS-10364 Preprint
Total burden requested under this ICR: 158 2089 0  
To view an IC, click on IC Title