PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Expedited Review Notices and Supporting Regulations Contained in 42 CFR SEction 405.1200 and 405.1202
Modified
5314194
885699
0
Form
CMS-10123
Notice of Medicare Non-Coverage
Instruction
Notice of Provider Non-Coverage (CMS-10123) and Detailed Explanation of Non-Coverage (CMS-10124)
Modified
25655
42232
0
Form
CMMS-10124
Detailed Explanation of Non-coverage
Instruction
Total burden requested under this ICR:
5339849
927931
0
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