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Medicare Second Surgical Opinion Demonstration Projects

IC 112785 under ICR 197802-0938-003 · OMB 0938-0072.

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Information Collection (IC) Details

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MEDICARE SECOND SURGICAL OPINION DEMONSTRATION PROJECTS
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-36T No No
Form 37T & 38T No No


    

7,750 0
   
Individuals or Households
 
   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 7,750 0 0 7,750 0 0
Annual IC Time Burden (Hours) 499 0 0 499 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.