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42CFR485.616(c)(40)(iv)

IC 271606 under ICR 202410-0938-012 · OMB 0938-1043.

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42CFR485.616(c)(40)(iv)
 
No New
 
Required to Obtain or Retain Benefits
 
42 CFR 485.616(c)(40)(iv)

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

Health Health Care Services

 

1,245 0
   
Private Sector 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 1,245 0 1,245 0 0 0
Annual IC Time Burden (Hours) 2,490 0 2,490 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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