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Recordkeeping Requirements Contained In Provider Reimbursement Manual -- Sections 2198 And 2746

IC 113877 under ICR 199310-0938-013 · OMB 0938-0499.

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RECORDKEEPING REQUIREMENTS CONTAINED IN PROVIDER REIMBURSEMENT MANUAL -- SECTIONS 2198 AND 2746
 
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-R=105 No No


    

9,000 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 9,000 0 9,000 0 0 0
Annual IC Time Burden (Hours) 2,250 0 2,250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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