Information Collection Requirements in 42 CFR 478.36 - record of reconsideration

(CMS-R-72) Information Collection Requirements in 42 CFR Sections 478.18, 478.34, 478.36, and 478.42 QIO Reconsiderations and Appeals

OMB: 0938-0443

IC ID: 191471

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Information Collection Requirements in 42 CFR 478.36 - record of reconsideration
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 478.36

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

Health Health Care Services

 

20,129 0
   
Individuals or Households
 
   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 20,129 0 0 19,829 0 300
Annual IC Time Burden (Hours) 1,677 0 0 1,477 0 200
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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