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Information Collection

Primary Care Services Furnished by Physicians with a Specified Specialty or Subspeciality

IC 202301 under ICR 201411-0938-009 · OMB 0938-1170.

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Information Collection (IC) Details

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Primary Care Services Furnished by Physicians with a Specified Specialty or Subspeciality
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 447.400(a) and (b)

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

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 125,970 0 0 0 0 125,970
Annual IC Time Burden (Hours) 62,985 0 0 0 0 62,985
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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