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Information Collection

'medicare' Request For Claim Number Verification

IC 166158 under ICR 199105-0938-015 · OMB 0938-0089.

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'MEDICARE' REQUEST FOR CLAIM NUMBER VERIFICATION
 
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-1600 No No


    

453,100 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 453,100 0 0 0 0 453,100
Annual IC Time Burden (Hours) 37,758 0 0 0 0 37,758
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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