Photocopying of CMS-29 and filing by a Medical Secretary

(CMS-29) Request for Certification as Rural Health Clinic Form and Supporting Regulations

OMB: 0938-0074

IC ID: 230986

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Photocopying of CMS-29 and filing by a Medical Secretary
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 491.1-491.11

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

Health Health Care Services

 

210 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   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 210 0 0 210 0 0
Annual IC Time Burden (Hours) 18 0 0 18 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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