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View Information Collection (IC)

View Information Collection (IC)

CMS-1500 (02-12)/CMS-1490S OIT
 
No Modified
 
Mandatory
 
42 CFR 424, Section C  (To search for a specific CFR, visit the Code of Federal Regulations.)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-1490S Yes Yes Fillable Fileable
Form CMS-1490 English Yes Yes Fillable Fileable
Form and Instruction CMS-1500 Yes Yes Fillable Fileable

Health Health Care Services

Medicare Multi-Carrier Claims System (MCS)  83 FR 6591

2,507,992 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   99 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 998,032,912 0 22,368,663 0 0 975,664,249
Annual IC Time Burden (Hours) 17,329,912 0 166,602 0 0 17,163,310
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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