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Information Collection

Information Collection Requirements Contained In Regulation Section 405.1042(c), Hospital Utilization Review Plan (prospective Payment, Berc-263)

IC 113405 under ICR 198312-0938-001 · OMB 0938-0305.

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INFORMATION COLLECTION REQUIREMENTS CONTAINED IN REGULATION SECTION 405.1042(C), HOSPITAL UTILIZATION REVIEW PLAN (PROSPECTIVE PAYMENT, BERC-263)
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-31 No No


    

1,462 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 1,462 0 0 1,462 0 0
Annual IC Time Burden (Hours) 1,462 0 0 1,462 0 0
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.