Professional Standards Review Organization Routine Federal Reporting Requirements

PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS

OMB: 0938-0063

IC ID: 166123

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PROFESSIONAL STANDARDS REVIEW ORGANIZATION ROUTINE FEDERAL REPORTING REQUIREMENTS
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-111, No No
Form 112,121, No No
Form 122,131, No No
Form 135,141, No No
Form & 142J No No


    

5,695 0
   
Private Sector 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 22,680 0 0 0 0 22,680
Annual IC Time Burden (Hours) 65,137 0 0 -71,651 0 136,788
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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