Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Median Payer-Specific Negotiated Charge Data Worksheet Unchanged 3034 60760 0 Form CMS-10935 Weighted Median MAO Payer-Specific Negotiated Charge Data Form
Instruction
Total burden requested under this ICR: 3034 60760 0  
To view an IC, click on IC Title