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Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
No Surprise Act: IDR Process
IDR_Initiation_Webform
Federal IDR Process for Services relating to Nonparticipating Providers or Nonparticipating Emergency Facilities
OMB: 1210-0169
OMB.report
TREAS/IRS
OMB 1210-0169
ICR 202302-1545-001CF
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⚠️ Notice: This form may be outdated.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
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Charyszyn, Lisa
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File Created
2023-08-30
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