Cost Report Forms For Group Practice Prepayment Plans Which Deal Directly With Hcfa

COST REPORT FORMS FOR GROUP PRACTICE PREPAYMENT PLANS WHICH DEAL DIRECTLY WITH HCFA

OMB: 0938-0038

IC ID: 166083

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COST REPORT FORMS FOR GROUP PRACTICE PREPAYMENT PLANS WHICH DEAL DIRECTLY WITH HCFA
 
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-2017 No No


    

55 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 27 0 0 0 0 27
Annual IC Time Burden (Hours) 3,880 0 0 2,800 0 1,080
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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