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Information Collection

Upper Payment Limits Reporting Requirements and Supporting Regulations Contained in 42 CFR 447.272 and 447.321

IC 8669 under ICR 200110-0938-006 · OMB 0938-0855.

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Upper Payment Limits Reporting Requirements and Supporting Regulations Contained in 42 CFR 447.272 and 447.321
 
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 CMS-10032 Yes Yes


    

51 0
   
State, Local, and Tribal Governments
 
   75 %

  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 51 0 51 0 0 0
Annual IC Time Burden (Hours) 704 0 704 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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