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Evaluation Of Second Surgical Opinion Programs For Elective Surgery

IC 166174 under ICR 198104-0938-010 · OMB 0938-0131.

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EVALUATION OF SECOND SURGICAL OPINION PROGRAMS FOR ELECTIVE SURGERY
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-6 No No
Form HCFA-6A No No
Form HCFA-L-6 No No


    

1,135 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 1,366 0 0 0 0 1,366
Annual IC Time Burden (Hours) 1,275 0 0 0 0 1,275
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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