Statistical Report On Medical Care: Recipients, Payments, Services

STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES

OMB: 0938-0059

IC ID: 112682

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STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form SRSNCS2082 No No


    

54 0
   
State, Local, and Tribal Governments
 
   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 54 0 0 54 0 0
Annual IC Time Burden (Hours) 864 0 0 864 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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