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 Enrollment in Part B Immunosuppressive Drug Coverage (Part B-ID)
Modified
767
128
0
Form and Instruction
CMS-10798
Application for Enrollment in Part B Immunosuppressive Drug Coverage
Total burden requested under this ICR:
767
128
0
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