491.11 - Program Evaluation - New FQHCs

(CMS-R-38) Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR 491

OMB: 0938-0334

IC ID: 233900

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491.11 - Program Evaluation - New FQHCs
 
No New
 
Required to Obtain or Retain Benefits
 
42 CFR 491.11

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

Health Health Care Services

 

425 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  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 425 0 425 0 0 0
Annual IC Time Burden (Hours) 4,250 0 4,250 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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