Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities

No Surprises Act: IDR Process

OMB: 1210-0169

IC ID: 248846

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Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
 
Yes New
 
Mandatory
 
29 CFR 2590

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

Income Security General Retirement and Disability

 

8,667 7,540
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   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 13,743 13,743 0 0 0 0
Annual IC Time Burden (Hours) 26,422 26,422 0 0 0 0
Annual IC Cost Burden (Dollars) 60,162 60,162 0 0 0 0

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