Procedures for advisory opinions concerning physician referrals (CMS-R-216)

Issuance of Advisory Opinions Concerning Physicians' Referrals (CMS-R-216)

OMB: 0938-0714

IC ID: 8365

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Procedures for advisory opinions concerning physician referrals (CMS-R-216)
 
No Modified
 
Voluntary
 
42 CFR 411.372 42 CFR 411.373

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

Health Health Care Services

 

25 25
   
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 25 0 0 -25 0 50
Annual IC Time Burden (Hours) 500 0 0 -500 0 1,000
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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