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
Medicare Uniform Institutional Provider Bill and Supporting Regulations in 42 CFR 424.5
Modified
214660298
1617010
0
Form and Instruction
CMS-1450 (UB04) Front
Uniform Institutional Providers Form
Form and Instruction
CMS-1450 (UB04) Back
Uniform Institutional Providers Form
Total burden requested under this ICR:
214660298
1617010
0
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