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Information Collection

Unform Exceptions and Appeals

IC 195403 under ICR 201011-0938-011 · OMB 0938-1338.

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Unform Exceptions and Appeals
 
No New
 
Mandatory
 
42 CFR 423.562 42 CFR 423.128

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

Health Health Care Services

 

2,273 0
   
Private Sector Businesses or other for-profits
 
   4 %

  Requested 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 2,834,898 2,834,898 0 0 0 0
Annual IC Time Burden (Hours) 259,687 259,687 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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