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Evaluation of the Demonstration of Coverage of Chiropractic Services Under Medicare

IC 43682 under ICR 200606-0938-009 · OMB 0938-0998.

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Evaluation of the Demonstration of Coverage of Chiropractic Services Under Medicare
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10187-SP No No
Form CMS-10187 No No


    

2,000 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 2,000 0 2,000 0 0 0
Annual IC Time Burden (Hours) 667 0 667 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.