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
Federally Qualified Health Center Cost Report Form
Modified
2240
129920
0
Form
CMS-224-14
FQHC Cost Report Form (Worksheets)
Instruction
Form
CMS-224-14
FQHC Cost Report Form
Total burden requested under this ICR:
2240
129920
0
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