Information Collection

ICRs Contained in BPD-393, Examination and Treatment for Emergency Medical Conditions and Women in Labor and Supporting Regulations Contained in 42 CFR 488.18, 489.20, and 489.24

IC 8246 under ICR 199708-0938-007 · OMB 0938-0667.

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Information Collection (IC) Details

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IC Title:	ICRs Contained in BPD-393, Examination and Treatment for Emergency Medical Conditions and Women in Labor and Supporting Regulations Contained in 42 CFR 488.18, 489.20, and 489.24	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-R-142				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 7,000	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	7,000	0	7,000
Annual IC Time Burden (Hours)	1	-8,818,576	8,818,577
Annual IC Cost Burden (Dollars)	0	-166,618,135,000	166,618,135,000

Documents for IC

Title	Document	Date Uploaded

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.