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
Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
Modified
5600
5600
283304
Other-TRIWEST CAPDME Form
Other-Humana CAPDME Form
Total burden requested under this ICR:
5600
5600
283304
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