Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application for Hospital Insurance and Supporting Regulations in 42 CFR 406.6, 406.7,406.10,406.11 and 406.20 Modified 50000 12500 0 Form CMS-18F5 (SP)
Form CMS-18F5
Total burden requested under this ICR: 50000 12500 0  
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