Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105

OMB: 0938-0456

IC ID: 8078

Documents and Forms
Document Name
Document Type
Instruction
Instruction
Information Collection (IC) Details

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Indirect Medical Education (IME) and Supporting Regulations 42 CFR 412.105
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 412.105

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction CMS-R-64.Attachment1 - Jul2016.pdf Yes Yes Fillable Fileable
Instruction CMS-R-64.Attachment2 - Jul2016.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

1,245 0
   
Private Sector Farms, Not-for-profit institutions
 
   100 %

  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 1,245 0 0 55 1,190 0
Annual IC Time Burden (Hours) 2,490 0 0 110 2,380 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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