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42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary

IC 195503 under ICR 201806-0938-007 · OMB 0938-1158.

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42 CFR 495.204(b)(5) or (b)(6)(2012) EPs-salary
 
No Removed
 
Required to Obtain or Retain Benefits
 
42 CFR 495.204(b)(5) 42 CFR 495.204(b)(6)

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

Health Health Care Services

 

12 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 0 0 -12 0 0 12
Annual IC Time Burden (Hours) 0 0 -233 0 0 233
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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