Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Authorization Form Forms 42 CFR 83.7 Modified 20 1 0 Instruction
Form A 42 CFR 83.9 Modified 30 2 0 Instruction
Form B 42 CFR Part 83.9 Modified 40 200 0 Instruction
Petitiner Requesting Review of Proposed decision no form req/42 CFR 83.9 Modified 5 4 0 Instruction
Petitioner Submission Format other than Form B 42 CFR 83.9 Modified 5 30 0 Instruction
Total burden requested under this ICR: 100 237 0  
To view an IC, click on IC Title