The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit Package & Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....

The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit Package & Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....

OMB: 0938-0763

IC ID: 8494

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The Adjusted Community Rate Proposal (ACRP) M+C Plan Benefit Package & Supporting Regulations in 42 CFR 417.401, 422.1-422.10, 422.50-422.80,422.100-422.132,422.300-422.312,422.400-422.404....
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-262 Yes Yes


    

300 0
   
Private Sector Businesses or other for-profits
 
   100 %

  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 300 0 300 0 0 0
Annual IC Time Burden (Hours) 900 0 900 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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