Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Medicare Geographic Classification Review Board (MGCRB) Procedures and Criteria and Supporting Regulations in 42 CFR, Section 412.256 & 412.230 (CMS-R-138) Modified 850 850 0 Form CMS-R-138
Form CMS-R-138 Screenshot
Total burden requested under this ICR: 850 850 0  
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