Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Complaints Related to Surprise Billing New 1800 900 48726 Form and Instruction CMS-10779 Consumer Complaint Form - No Surprises Help Desk
Form and Instruction CMS-10779 Provider Complaint Form - No Surprises Help Desk
Total burden requested under this ICR: 1800 900 48726  
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