Information Collection

Advanced Directives (Medicare and Medicard) - BDP-718

IC 8210 under ICR 200810-0938-019 · OMB 0938-0610.

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Documents and Forms

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Information Collection (IC) Details

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IC Title:	Advanced Directives (Medicare and Medicard) - BDP-718	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Removed

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

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

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 33,096	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits

Percentage of Respondents Reporting Electronically: 0 %

	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	-33,096	33,096
Annual IC Time Burden (Hours)	-924,120	924,120
Annual IC Cost Burden (Dollars)	0	0

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