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Information Collection

Medicare Lifestyle Modification Program Demonstration

IC 8690 under ICR 200602-0938-006 · OMB 0938-0871.

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Medicare Lifestyle Modification Program Demonstration
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10044 No No


    

2,240 0
   
Individuals or Households
 
   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 1,680 0 0 0 0 1,680
Annual IC Time Burden (Hours) 1,106 0 0 0 0 1,106
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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