Medicare Participating Physician or Supplier Agreement -- HCFA 460

Medicare Participating Physician or Supplier Agreement -- HCFA 460

OMB: 0938-0373

IC ID: 8011

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Medicare Participating Physician or Supplier Agreement -- HCFA 460
 
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-460 No No


    

70,000 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 70,000 0 0 -29,357 0 99,357
Annual IC Time Burden (Hours) 17,500 0 0 1,603 0 15,897
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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