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Information Collection

Medicare Interim Payment Update Report

IC 113047 under ICR 198512-0938-003 · OMB 0938-0180.

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Information Collection (IC) Details

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MEDICARE MEDICARE INTERIM PAYMENT UPDATE REPORT
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-0091 No No


    

14,000 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 14,000 0 0 14,000 0 0
Annual IC Time Burden (Hours) 224,000 0 0 224,000 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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