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
Application For Medicare Part A and Part B Special Enrollment Period (Exceptional Circumstances)
New
31499
7875
0
Form and Instruction
CMS-10797
CMS 10797 Application for Part A and Part B Special Enrollment Period Exceptional Circumstances_508
Total burden requested under this ICR:
31499
7875
0
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