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Medicare Evaluation Of The Medicare Competition Survey Questionnaire

IC 113362 under ICR 198512-0938-002 · OMB 0938-0289.

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MEDICARE EVALUATION OF THE MEDICARE COMPETITION SURVEY QUESTIONNAIRE
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-403 No No


    

2,875 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 2,857 0 0 -1,478 0 4,335
Annual IC Time Burden (Hours) 1,429 0 0 -603 0 2,032
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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