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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:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Federal Enterprise Architecture Business Reference Module

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 %

table that charts list of burden
	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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