Medicare Secondary Payer Informaiton Collection and Supp. Regs. in 42 CFR 489.20, 411.25, 489.2

Medicare Secondary Payer Informaiton Collection and Supp. Regs. in 42 CFR 489.20, 411.25, 489.2

OMB: 0938-0214

IC ID: 7889

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Information Collection (IC) Details

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Medicare Secondary Payer Informaiton Collection and Supp. Regs. in 42 CFR 489.20, 411.25, 489.2
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 250-254 No No


    

134,553,682 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 124,553,682 0 0 -10,000,000 0 134,553,682
Annual IC Time Burden (Hours) 1,611,303 0 0 5,888 0 1,605,415
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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