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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
AM and Applicable GPO (Assumptions Document)
New
1570
1570
0
Form and Instruction
CMS-10495
Assumptions
AM and Applicable GPO (Attestation)
New
1570
1570
0
Form and Instruction
CMS-10495
Attestation
AM and Applicable GPO (Record Retention)
New
1570
393
0
Instruction
AM and Applicable GPO (Registration)
New
1570
10990
0
Form and Instruction
CMS-10495
AM and AGPO Registration
Physicians (Registration)
New
224425
1458763
0
Form and Instruction
CMS-10495
Physician Registration
Teaching Hospitals (Registration)
New
1162
140021
0
Form and Instruction
CMS-10495
Teaching Hospitals Registration
Total burden requested under this ICR:
231867
1613307
0
To view an IC, click on IC Title
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The .gov means it's official.
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