Request For Information - Medicare Payments For Services To A Patient Now Deceased

REQUEST FOR INFORMATION - MEDICARE PAYMENTS FOR SERVICES TO A PATIENT NOW DECEASED

OMB: 0938-0020

IC ID: 112521

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Information Collection (IC) Details

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REQUEST FOR INFORMATION - MEDICARE PAYMENTS FOR SERVICES TO A PATIENT NOW DECEASED
 
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 SSA-1660 No No


    

300,000 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 300,000 0 0 300,000 0 0
Annual IC Time Burden (Hours) 75,000 0 0 75,000 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.

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