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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
State Plan preprints to Implement Sections of the Deficit Reduction Act of 2006 and Third-party Disclosure for Non-emergencies
Modified
4000
667
0
Form and Instruction
CMS-10190
6043 Costsharing Preprint
State Plan preprints to implement Sections of the Deficit Reduction Act of 2006 and Third-party Disclosure for Non-emergencies (CMS-10190)
Modified
16
32
0
Form and Instruction
CMS-10190
DRA 6041 Costsharing Preprint
Form and Instruction
CMS-10190
DRA 6042 costsharing preprint
Form and Instruction
CMS-10190
nem3 1d
Form and Instruction
CMS-10190
Non-Emergency Medical Transportation preprint
Form and Instruction
CMS-10190
6044 Benchmark Preprint
Total burden requested under this ICR:
4016
699
0
To view an IC, click on IC Title