Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application New 51 34884 0 Form and Instruction CMS-10319 CMS - 10319 - Full Solicitation for State Proposals
Letter of Intent Modified 51 0 0 Form and Instruction CMS-10319 Appendix A
Submission of Contact Information Modified 51 0 0 Form and Instruction CMS-10319 Appendix A
Total burden requested under this ICR: 153 34884 0  
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