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Information Collection

Contractors' Information Collections - Carriers' External Audit Of Services Provided To Beneficiaries

IC 113191 under ICR 198112-0938-015 · OMB 0938-0232.

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Information Collection (IC) Details

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CONTRACTORS' INFORMATION COLLECTIONS - CARRIERS' EXTERNAL AUDIT OF SERVICES PROVIDED TO BENEFICIARIES
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-9039 No No


    

170,000 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 170,000 0 0 170,000 0 0
Annual IC Time Burden (Hours) 28,333 0 0 28,333 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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