Report On Provider Participation In The Medicaid Program

REPORT ON PROVIDER PARTICIPATION IN THE MEDICAID PROGRAM

OMB: 0938-0262

IC ID: 113285

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REPORT ON PROVIDER PARTICIPATION IN THE MEDICAID PROGRAM
 
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 350 No No


    

54 0
   
State, Local, and Tribal Governments
 
   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 54 0 0 0 0 54
Annual IC Time Burden (Hours) 2,160 0 0 0 0 2,160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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