Emergency and Foreign Hospital Services and Supporting Regulation in 42 CFR Section 424.103 (CMS-1771)

ICR 202211-0938-001

OMB: 0938-0023

Federal Form Document

Forms and Documents

Document Name	Status
Form CMS-1771 Emergency and Foreign Hospital Services Form	Modified
CMS-1771 Supporting Statement A.docx Supporting Statement A	2022-11-04

IC Document Collections

IC ID	Document Title	Status
7770	Emergency and Foreign Hospital Services Form	Modified