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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program
Migrated
224
16464
0
Form
64.21
Form
64.9P
Form
HCFA-64
Form
64.21U
Form
64EC
Form
64.10
Form
64.21E
Form
64.9
Form
64.21UP
Form
64.21P
Total burden requested under this ICR:
224
16464
0
To view an IC, click on IC Title
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The .gov means it's official.
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