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
Complaints Related to Surprise Billing
Modified
39000
19500
1055730
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:
39000
19500
1055730
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
