Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application and Re-application processes Modified 35 6833 0 Form and Instruction CMS-10394 Application for Qualified Entity Certification
Instruction
Re-application Removed 0 0 0 Form and Instruction CMS-10392 Qualified Entity Application
Form and Instruction CMS-10394 Revised QE Application
Total burden requested under this ICR: 35 6833 0  
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