PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Advance Beneficiary Notice of Noncoverage (ABN) and Supporting Regulations in 42 CFR 411.404 and 411.408
Modified
52967771
6177101
0
Form
CMS-R-131
Spanish ABN
Form
CMS-R-131
Advanced Beneficiary Notice of Noncoverage
Instruction
Total burden requested under this ICR:
52967771
6177101
0
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