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42 CFR 489.20(w)(4) Receive patient signature on written notice of lack of MD coverage

IC 247551 under ICR 202105-0938-008 · OMB 0938-1034.

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42 CFR 489.20(w)(4) Receive patient signature on written notice of lack of MD coverage
 
No New
 
Mandatory
 
42 CFR 489.20(w)(4)

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
 
   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 2,331,817 0 0 2,331,817 0 0
Annual IC Time Burden (Hours) 38,864 0 0 38,864 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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