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Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
No Surprises Act: IDR Process
3. Tri-dept - notice of IDR Initiation 4.20.22
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
OMB: 1210-0169
OMB.report
DOL/EBSA
OMB 1210-0169
ICR 202302-1210-003
IC 252194
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
( )
⚠️ Notice: This form may be outdated. More recent filings and information on OMB 1210-0169 can be found here:
2023-11-03 - Revision of a currently approved collection
2023-02-24 - RCF Recertification
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application/vnd.openxmlformats-officedocument.wordprocessingml.document
Author
Elizabeth Schumacher
File Modified
0000-00-00
File Created
2023-09-03
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