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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)
Unchanged
1570
1570
0
Form and Instruction
CMS-10495
Assumptions
AM and Applicable GPO (Attestation)
Unchanged
1570
1570
0
Form and Instruction
CMS-10495
Attestation
AM and Applicable GPO (Record Retention)
Modified
1570
393
0
Instruction
AM and Applicable GPO (Registration)
Unchanged
1570
10990
0
Form and Instruction
CMS-10495
AM and AGPO Registration
Dispute Resolution and Correction (Physicians)
New
224425
1346550
0
Form and Instruction
CMS-10495
Dispute Resolution and Correction
Dispute and Resolution Correction (Teaching Hospitals)
New
1162
139440
0
Form and Instruction
CMS-10495
Dispute Resolution and Correction
Physicians (Registration)
Unchanged
224425
1458763
0
Form and Instruction
CMS-10495
Physician Registration
Teaching Hospitals (Registration)
Unchanged
1162
140021
0
Form and Instruction
CMS-10495
Teaching Hospitals Registration
Total burden requested under this ICR:
457454
3099297
0
To view an IC, click on IC Title