Procedures for advisory opinions concerning physician referrals and supporting regulations in 42 CFR Sections 411.370 through 411.389

Issuance of Advisory Opinions Concerning Physicians' Referrals and supporting regulations in 42 CFR Sections 411.370 through 411.389

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Information Collection (IC) Details

IC Title:	Procedures for advisory opinions concerning physician referrals and supporting regulations in 42 CFR Sections 411.370 through 411.389	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 422.372 42 CFR 411.373

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 50

Affected Public: Private Sector	Private Sector: Not-for-profit institutions, Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	50	-150	200
Annual IC Time Burden (Hours)	1,000	-1,000	2,000
Annual IC Cost Burden (Dollars)	0	-400,000	400,000

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