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Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106

IC 43662 under ICR 201810-0938-004 · OMB 0938-0691.

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Medicare Disproportionate Share Adjustment Procedures and Criteria and Supporting Regulations in 42 CFR 412.106
 
No Unchanged
 
Voluntary
 
42 CFR 412.106

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

Health Health Care Services

 

800 100
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   50 %

  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 800 0 0 0 800 0
Annual IC Time Burden (Hours) 400 0 0 0 400 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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