Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Advance Beneficiary Notice of Noncoverage (ABN) and Supporting Regulations in 42 CFR 411.404 and 411.408 Modified 43725850 5099309 0 Form CMS-R-131 Notificaci?n previa de NO-cobertura al beneficiario (ABN)
Form Form CMS-R-131 Advance Beneficiary Notice of Noncoverage (ABN)
Instruction
Total burden requested under this ICR: 43725850 5099309 0  
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