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Payment Adjustment for Sole Community Hospitals and Supporting Regs. in 42 CFR 412.92

IC 8103 under ICR 200508-0938-003 · OMB 0938-0477.

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Payment Adjustment for Sole Community Hospitals and Supporting Regs. in 42 CFR 412.92
 
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-R-79 No No


    

40 0
   
Private Sector Not-for-profit institutions
 
   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 40 0 0 0 0 40
Annual IC Time Burden (Hours) 160 0 0 0 0 160
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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