Information Collection

Collection of Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute -- 1853(a)(3) of BBA

IC 8354 under ICR 199712-0938-005 · OMB 0938-0711.

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Information Collection (IC) Details

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IC Title:	Collection of Managed Care Data Using the Uniform Institutional Providers Form and Supporting Statute -- 1853(a)(3) of BBA	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-224				Yes	Yes

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 1,900,000	Number of Respondents for Small Entity: 0

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

Percentage of Respondents Reporting Electronically: 96 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	1,900,000	1,900,000
Annual IC Time Burden (Hours)	32,833	32,833
Annual IC Cost Burden (Dollars)	43,000,000,000	43,000,000,000

Documents for IC

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