Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
HOPDs/ASCs Patient Records Modified 8427 235956 0 Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Individuals Modified 2037300 264849 0 Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Total burden requested under this ICR: 2045727 500805 0  
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