Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Federal IDR Process for Air Ambulance Services New 4497 6549 17003
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities New 13743 26422 60162
IDR Entity Certification and IDR Entity Monthly Reporting New 85 0 22135
Request of Extension of Time Periods for Extenuating Circumstances New 13 3 0
Total burden requested under this ICR: 18338 32974 99300  
To view an IC, click on IC Title