Provider-Preventable Conditions under 42 CFR 447.26(c)(2)

Provider-Preventable Conditions under 42 CFR 438.6 and 447.26 and Title 2702 Non-Payment Preprint (Attachment 4.19)

OMB: 0938-1136

IC ID: 197985

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Provider-Preventable Conditions under 42 CFR 447.26(c)(2)
 
No New
 
Mandatory
 
42 CFR 447.26(c)(2)

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

Health Health Care Services

 

55 0
   
State, Local, and Tribal Governments
 
   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 55 55 0 0 0 0
Annual IC Time Burden (Hours) 1,320 1,320 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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