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Information Collection

Physician Certifications (74-100 days)

IC 280882 under ICR 202606-0938-008 · OMB 0938-0454.

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Physician Certifications (74-100 days) CM-FFS
 
No New
 
Required to Obtain or Retain Benefits
 
42 CFR 242.20 (a) through (d)

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

Health Health Care Services

 

127,806 0
   
Private Sector Not-for-profit institutions, Businesses or other for-profits
 
   0 %

  Requested 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 511,224 0 511,224 0 0 0
Annual IC Time Burden (Hours) 74,554 0 74,554 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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