Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Hospital Outpatient Quality Reporting Modified 3125100 1387119 0 Form and Instruction CMS-10250 Validation Review for Reconsideration Request
Instruction
Form and Instruction CMS-10250 Web Based Data Collection Tool
Total burden requested under this ICR: 3125100 1387119 0  
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