Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Verification of Clinic Data - Rural Health Clinic Program Form and Supporting Regulations in 42 CFR 491.1-491.11 Modified 864 144 0 Form and Instruction CMS-29 Verification of Clinic Data - Rural Health Clinic Program
Total burden requested under this ICR: 864 144 0  
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