Medicare Histocompatibility Testing Laboratories Survey Report Form

MEDICARE HISTOCOMPATIBILITY TESTING LABORATORIES SURVEY REPORT FORM

OMB: 0938-0376

IC ID: 113585

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MEDICARE HISTOCOMPATIBILITY TESTING LABORATORIES SURVEY REPORT FORM
 
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-445 No No


    

53 0
   
State, Local, and Tribal Governments
 
   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 53 0 0 0 0 53
Annual IC Time Burden (Hours) 200 0 0 0 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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