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Information Collection

Request for Medicare Payment -- Ambulance and Supporting Regulations in 42 CFR Sections 410.1, 410.40, 424.124, 424.601, 414.605, 414.610, 414.615, 414.620, 414.625, and 424.32

IC 7798 under ICR 200402-0938-005 · OMB 0938-0042.

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Information Collection (IC) Details

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Request for Medicare Payment -- Ambulance and Supporting Regulations in 42 CFR Sections 410.1, 410.40, 424.124, 424.601, 414.605, 414.610, 414.615, 414.620, 414.625, and 424.32
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-1491 No No


    

1,334 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 240,000 0 0 -9,061,183 0 9,301,183
Annual IC Time Burden (Hours) 60,010 0 0 -330,408 0 390,418
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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