Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78

Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78

OMB: 0938-0445

IC ID: 8056

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Information Collection Requirements in HSQ-108F Assumption of Responsibilities and Supporting Regulations in 42 CFR Sections 412.44, 412.46, 431.630, 456.654, 476.71, 476.73, 476.74, 476.78
 
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 HCFA-R-71 No No


    

6,089 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 6,036 0 0 -381 0 6,417
Annual IC Time Burden (Hours) 81,818 0 0 34,984 0 46,834
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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