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Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care

IC 8613 under ICR 200101-0938-006 · OMB 0938-0820.

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Follow-Up of Medicare+Choice Disenrollees Receiving Fee-for-Service Inpatient Hospital Care
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-10017 No No


    

500 0
   
Individuals or Households
 
   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 500 0 500 0 0 0
Annual IC Time Burden (Hours) 542 0 542 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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