Diagnosis Related Groups (DRG) Reimbursement (Two Parts)

Diagnosis Related Groups (DRG) Reimbursement (Two Parts)

OMB: 0720-0017

IC ID: 5589

Documents and Forms
Document Name
Document Type
Other-Sample Request and Statement
Information Collection (IC) Details

View Information Collection (IC)

Diagnosis Related Groups (DRG) Reimbursement (Two Parts)
 
No Modified
 
Required to Obtain or Retain Benefits
 
32 CFR 199.14

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Sample Request and Statement Sample Request and Statement.pdf No   Paper Only

Defense and National Security Operational Defense

 

4,993 0
   
Private Sector Businesses or other for-profits
 
   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 4,993 0 0 -607 5,600 0
Annual IC Time Burden (Hours) 7,490 0 0 -910 8,400 0
Annual IC Cost Burden (Dollars) 232,125 0 0 -5,875 238,000 0

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