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
Information Related to Qualifying Payment Amount to be Shared with Nonparticipating Providers or Nonparticipating Emergency Facilities
Modified
1900692
361131
0
Form and Instruction
CMS-10780
Standard Notice and Consent
Plan and Issuer Disclosure on Patient Protections Against Balance Billing
Modified
8466479
84665
0
Other-Model Notice
Total burden requested under this ICR:
10367171
445796
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
