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Medicare Exclusion Of Services Reimbursable Under Automotible, No-fault Or Liability Insurance

IC 113287 under ICR 198208-0938-003 · OMB 0938-0263.

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MEDICARE EXCLUSION OF SERVICES REIMBURSABLE UNDER AUTOMOTIBLE, NO-FAULT OR LIABILITY INSURANCE
 
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-365 No No


    

145,000 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 18,138,000 0 18,138,000 0 0 0
Annual IC Time Burden (Hours) 52,000 0 52,000 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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