Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b)

Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b) (CMS-10242)

OMB: 0938-1049

IC ID: 184092

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

View Information Collection (IC)

Emergency Ambulance Transports and Beneficiary Signature Requirements in 42 CFR 424.36(b) CM-FFS
 
No Modified
 
Mandatory
 
42 CFR 424.36(b)

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

Health Health Care Services

 

10,229 0
   
Private Sector Businesses or other for-profits, Not-for-profit institutions
 
   100 %

  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 13,318,440 0 0 -837,177 0 14,155,617
Annual IC Time Burden (Hours) 1,110,757 0 0 -69,821 0 1,180,578
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

© 2024 OMB.report | Privacy Policy