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View Information Collection (IC)

View Information Collection (IC)

Expedited Review Notices and Supporting Regulations Contained in 42 CFR SEction 405.1200 and 405.1202
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 405.1200 42 CFR 405.1202

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes Yes Paper Only
Form CMS-10124 Yes Yes Paper Only
Form CMS-10124 Yes Yes Paper Only
Form CMS-10123 Yes Yes Paper Only
Form CMS-10123 Yes Yes Paper Only
Instruction Yes Yes Paper Only

Health Health Care Services

 

3,100,000 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 3,100,000 0 0 -1,192,400 0 4,292,400
Annual IC Time Burden (Hours) 516,666 0 0 137,266 0 379,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CROSSWALK DOC 020508 05/15/2008
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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