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
National Practitioner Data Bank (NPDB) Attestation of Reports by Hospitals, Medical Malpractice Payers, Health Plans, and Certain Other Health Care Entities
Modified
11600
11600
0
Form and Instruction
1
Form - Agent Attestation.pdf
Form and Instruction
2
Form - Health Center Attestation and Add Site.pdf
Form and Instruction
3
Form - Hospital Attestation.pdf
Form and Instruction
4
Form - Medical Malpractice Payer Attestation.pdf
Form and Instruction
5
Form - Other Eligible Entity Attestation.pdf
Total burden requested under this ICR:
11600
11600
0
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