Information Collection Requirements Contained In 442.307, 442.308, 442.309, 442.313, 442.314, 442.318, 442.319, And 442.320, 442.311-condit. Of Participat. For Intermed. Fam.

INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 442.307, 442.308, 442.309, 442.313, 442.314, 442.318, 442.319, AND 442.320, 442.311-CONDIT. OF PARTICIPAT. FOR INTERMED. FAM.

OMB: 0938-0370

IC ID: 113569

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INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 442.307, 442.308, 442.309, 442.313, 442.314, 442.318, 442.319, AND 442.320, 442.311-CONDIT. OF PARTICIPAT. FOR INTERMED. FAM.
 
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-45 No No


    

11,105 0
   
Private Sector Businesses or other for-profits
 
   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 11,105 0 0 0 0 11,105
Annual IC Time Burden (Hours) 2,430,038 0 0 0 0 2,430,038
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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