Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-I) Modified 6437 19311 0 Form CMS-3070G ICF for Persons with Mental Retardation Survey Report
Total burden requested under this ICR: 6437 19311 0  
To view an IC, click on IC Title