Information Collection Requirements In 42 Cfr 405.460 Exceptions To Cost Limits

INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 405.460 EXCEPTIONS TO COST LIMITS

OMB: 0938-0337

IC ID: 113459

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INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 405.460 EXCEPTIONS TO COST LIMITS
 
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-R-41 No No


    

100 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 100 0 0 100 0 0
Annual IC Time Burden (Hours) 400 0 0 400 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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