Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Letter of Intent New 51 191 0 Form and Instruction CMS-10319 Appendix A
Submission of Contact Information New 51 13 0 Form and Instruction CMS-10319 Appendix A
Total burden requested under this ICR: 102 204 0  
To view an IC, click on IC Title