Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
42 CFR 411.362(b)(3)(ii)(A) and 489.20(u)(2) - Medical Staff by-Laws and Policies (Attorney) Modified 27 54 0
42 CFR 411.362(b)(3)(ii)(C) and 489.20(u)(1)(ii) - Website/Public Advertising Disclosure Modified 265 133 0
42 CFR 411.362(b)(5)(i) - Disclosures Modified 4919460 122988 0
42 CFR 489.20(u)(1) - Attestation of non-Referring Status (Attorney) Modified 27 27 0
42 CFR 489.20(u)(1) - Disclosure dev/review (Attorney) Modified 27 108 0
42 CFR 489.20(u)(1) - Disclosure of Physician Owners/Investors to Patients Modified 265 265 0
42 CFR 489.20(u)(1) - Disclosure of Physician Owners/Investors to Staff Physicians Modified 265 265 0
42 CFR 489.20(u)(1) - Inpatient Disclosure Modified 289380 4823 0
42 CFR 489.20(u)(1) - Outpatient Disclosure Modified 4630080 77168 0
42 CFR 489.20(w)(1) - (5) - Disclosures Modified 5105702 127752 0
Inapplicability of Hospital Disclosure -- 489.20(u)(1) Removed 0 0 0
Requirements in 411.362(b)(5)(i) and 489.20(w)(2) - Attorney Removed 0 0 0
Total burden requested under this ICR: 14945498 333583 0  
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