Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Organ Procurement Organization's Health Insurance Benefits Agreement and Supporting Regulations 42 CFR 486.301-486.348 Modified 16 32 0 Form and Instruction CMS-576A Health Insurance Benefits Agreement
Form and Instruction CMS-576 ORGAN PROCUREMENT ORGANIZATION (OPO) REQUEST FOR DESIGNATION AS AN OPO
Total burden requested under this ICR: 16 32 0  
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