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Information Collection

Physician Representatives -- Physician Self-Referral Exceptions for Electronic Prescribing and Electronic Health Records

IC 45541 under ICR 201311-0938-028 · OMB 0938-1009.

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

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

Health Health Care Services

 

333 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 666 0 0 -384 1,050 0
Annual IC Time Burden (Hours) 1,332 0 0 -768 2,100 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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