Medicare Contractor Administrative Budget And Cost Reporting System Forms

MEDICARE CONTRACTOR ADMINISTRATIVE BUDGET AND COST REPORTING SYSTEM FORMS

OMB: 0938-0350

IC ID: 113495

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MEDICARE CONTRACTOR ADMINISTRATIVE BUDGET AND COST REPORTING SYSTEM FORMS
 
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-1523 No No
Form 1523A, 1523B No No
Form 1523C, 1523D No No
Form 1523E, 1524 No No
Form 1524A, 1524B No No
Form 1524C, 1524D No No
Form 1524E, 2580 No No
Form 3258, 3259 No No


    

86 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 1,462 0 0 0 0 1,462
Annual IC Time Burden (Hours) 80,016 0 9,632 0 0 70,384
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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