495.210 - Attesting on behalf of MA-affiliated hospitals

Medicare and Medicaid Programs; Electronic Health Record Incentive Program

OMB: 0938-1158

IC ID: 208651

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495.210 - Attesting on behalf of MA-affiliated hospitals
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
42 CFR 495.210

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

Health Health Care Services

 

30 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 30 0 0 0 0 30
Annual IC Time Burden (Hours) 15 0 0 0 0 15
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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