Information Collection

Uniform Hospital Bill (hcfa-1450) And Related Electronic Media Claim Format - Medicaid System Requirements

IC 113779 under ICR 199104-0938-004 · OMB 0938-0458.

Documents and Forms

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Document Name	Document Type

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IC Title:

UNIFORM HOSPITAL BILL (HCFA-1450) AND RELATED ELECTRONIC MEDIA CLAIM FORMAT - MEDICAID SYSTEM REQUIREMENTS

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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-59				No	No

Line of Business:

Subfunction:

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 1

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

table that charts list of burden
	Approved	Change Due to Adjustment in Agency Estimate
Annual Number of Responses for this IC	58,000,000	58,000,000
Annual IC Time Burden (Hours)	3,558,834	3,558,834
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded

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