Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-1500 (02-12)/CMS-1490S Modified 1033839906 18847500 0 Form and Instruction CMS-1500(02-12)
Form and Instruction CMS-1490s
Form and Instruction CMS-1490s
Total burden requested under this ICR: 1033839906 18847500 0  
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