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Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records (CMS-1303-F)

IC 181366 under ICR 201311-0938-028 · OMB 0938-1009.

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Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records (CMS-1303-F)
 
No Removed
 
Required to Obtain or Retain Benefits
 
42 CFR 411.357(w) 42 CFR 411.357(v)

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

Health Health Care Services

 

525 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   35 %

  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 0 0 -1,050 0 1,050 0
Annual IC Time Burden (Hours) 0 0 -2,100 0 2,100 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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