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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Data Use Agreement Information Collection Requirements, Model Language, and Supporting Regulations in 45 CFR Section 5b
Modified
2200
1100
0
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2c
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2a
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2b
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2d
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2e
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2i
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2j
Form and Instruction
CMS-R-235
CMS-R-235.Tab_2f
Total burden requested under this ICR:
2200
1100
0
To view an IC, click on IC Title