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
Attending Physicians Statement and Documentation of Medicare Emergency and Supporting Regulations in 42 CFR Section 424.103 (CMS-1771)
Modified
200
50
0
Form
CMS-1771
Attending Physician's Statement and Documentation of Medicare Emergency
Total burden requested under this ICR:
200
50
0
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