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ATTACHMENT O
ICR 201302-0920-001 · OMB 0920-0212 · Object 37586501.
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Document Metadata
| File Type | application/msword |
|---|---|
| File Title | ATTACHMENT O |
| Author | Christine Lucas |
| Last Modified By | Writer |
| File Modified | 2013-01-23 |
| File Created | 2026-10-10 |
| Conversion State | complete |
Extracted Text
The 250 FSASCs selected to participate will be asked to transmit UB-04 claims data on a quarterly basis. We expect that staff will take an average of 1 hour to prepare and transit the data files. This equals 1,000 annualized hours over three years.