Statement Of Deficiencies And Plan Of Correction

STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION

OMB: 0938-0391

IC ID: 113640

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STATEMENT OF DEFICIENCIES AND PLAN OF CORRECTION
 
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 2567 No No


    

49,200 0
   
State, Local, and Tribal Governments
 
   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 49,200 0 49,200 0 0 0
Annual IC Time Burden (Hours) 196,800 0 196,800 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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