Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b)

Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b)

OMB: 0938-1049

IC ID: 184092

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Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b)
 
No Modified
 
Mandatory
 
42 CFR 424.36(b)

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

Health Health Care Services

 

10,402 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 14,155,617 0 0 -1,478,164 0 15,633,781
Annual IC Time Burden (Hours) 1,180,578 0 0 -123,279 0 1,303,857
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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