Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
EOB New 6768 97760 0 Form and Instruction CMS-10453
Form and Instruction CMS-10453
Form and Instruction CMS-10453
Form and Instruction CMS-10453
Form and Instruction CMS-10453
Form and Instruction CMS-10452
Form and Instruction CMS-10453
Form and Instruction CMS-10453
Form and Instruction CMS-10453
Total burden requested under this ICR: 6768 97760 0  
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