Advance Beneficiary Notice and Supporting Regulations in 42 CFR 411.404, 411.406, and 411.408

Advance Beneficiary Notice and Supporting Regulations in 42 CFR 411.404, 411.406, and 411.408

OMB: 0938-0566

IC ID: 8161

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

Advance Beneficiary Notice and Supporting Regulations in 42 CFR 411.404, 411.406, and 411.408
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-R-131 No No


    

1,028,585 0
   
Private Sector Businesses or other for-profits
 
   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 19,660,110 0 836,960 0 0 18,823,150
Annual IC Time Burden (Hours) 1,638,345 0 69,749 0 0 1,568,596
Annual IC Cost Burden (Dollars) 122,700,000 0 122,700,000 0 0 0

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

© 2024 OMB.report | Privacy Policy