Information Collection

Section 2405.3 Of The Provider Reimbursement Manual - Single Day Method For Counting Interns And Residents To Facilitate Payment Of Indirect Medical Education Costs

IC 113775 under ICR 198510-0938-006 · OMB 0938-0457.

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Information Collection (IC) Details

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IC Title:	SECTION 2405.3 OF THE PROVIDER REIMBURSEMENT MANUAL - SINGLE DAY METHOD FOR COUNTING INTERNS AND RESIDENTS TO FACILITATE PAYMENT OF INDIRECT MEDICAL EDUCATION COSTS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-68				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,015	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,015	1,015
Annual IC Time Burden (Hours)	2,030	2,030
Annual IC Cost Burden (Dollars)	0	0

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Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.