Physician/supplier Overpayment Report -- Medicare

PHYSICIAN/SUPPLIER OVERPAYMENT REPORT -- MEDICARE

OMB: 0938-0439

IC ID: 113728

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Information Collection (IC) Details

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PHYSICIAN/SUPPLIER OVERPAYMENT REPORT -- MEDICARE
 
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-496 No No


    

57 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 33,060 0 33,060 0 0 0
Annual IC Time Burden (Hours) 827 0 827 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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