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Federal forms, ICRs, and supporting documents

Information Collection

(CMS-R-290) Medicare Program: Revised Procedures for Making National Coverage Determinations

IC 8526 under ICR 202412-0938-002 · OMB 0938-0776.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

(CMS-R-290) Medicare Program: Revised Procedures for Making National Coverage Determinations
 
No Unchanged
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-R-290 CMS-R-290 Collection Requirements CMS-R-290.Instrument (Reporting Requirements).doc No No Paper Only

Health Health Care Services

 

30 0
   
Private Sector Businesses or other for-profits
 
   95 %

  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 30 0 0 0 30 0
Annual IC Time Burden (Hours) 1,200 0 0 0 1,200 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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