CMS-R-10 Form 83 - Part II (Policies and Procedures)

Advanced Directives (Medicare and Medicard) - BDP-718

OMB: 0938-0610

IC ID: 189100

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CMS-R-10 Form 83 - Part II (Policies and Procedures)
 
No New
 
Mandatory
 
42 CFR 489.102(a)(2) 42 CFR 417.436(d)(iii) 42 CFR 422.128

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

Health Health Care Services

 

36,784 0
   
Private Sector Businesses or other for-profits, 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 36,784 0 36,784 0 0 0
Annual IC Time Burden (Hours) 73,568 0 73,568 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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