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Examination And Treatment Of Emergency Medical Conditions And Women In Labor And 42 Cfr 489.24 Essentials Of Provider Agreement Responsibilities Of Medicare Participating....

IC 114127 under ICR 199409-0938-005 · OMB 0938-0663.

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IC Title:	EXAMINATION AND TREATMENT OF EMERGENCY MEDICAL CONDITIONS AND WOMEN IN LABOR AND 42 CFR 489.24 ESSENTIALS OF PROVIDER AGREEMENT RESPONSIBILITIES OF MEDICARE PARTICIPATING....	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:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 350	Number of Respondents for Small Entity: 0

Affected Public: Individuals or Households

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	350	350
Annual IC Time Burden (Hours)	88	88
Annual IC Cost Burden (Dollars)	0	0

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