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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
 
Mandatory
 
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 No Fillable Fileable
Form CMS-10123 Yes No Fillable Fileable
Form CMS-10123 Yes No Fillable Fileable

Health Health Care Services

 

24,915 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 5,314,194 0 0 0 0 5,314,194
Annual IC Time Burden (Hours) 885,699 0 0 0 0 885,699
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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