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Medicare - Election To Recalculate Medicare Reimbursement Based On 42 Cfr 405.457

IC 113836 under ICR 198807-0938-001 · OMB 0938-0482.

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MEDICARE - ELECTION TO RECALCULATE MEDICARE REIMBURSEMENT BASED ON 42 CFR 405.457
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-551 No No


    

5,000 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 5,000 0 0 0 0 5,000
Annual IC Time Burden (Hours) 1,250 0 0 0 0 1,250
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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