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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
(Cycle I) Final Report
Modified
51
2040
0
Form and Instruction
CMS-10380
Cycle I FOA
Form and Instruction
CMS-10380
Cycle 1 - Final report template
(Cycle I) Quarterly Reports
Modified
20
480
0
Form and Instruction
CMS-10380
Cycle I - Quarterly Report
(Cycle I) Transaction Data Collection
Modified
204
8160
0
Form and Instruction
CMS-10380
Cycle I FOA
(Cycle II ) Final Report - end of grant
Modified
34
1360
0
Form and Instruction
CMS-10380
Cycle II FOA
(Cycle II) Annual Report
Modified
34
1360
0
Form and Instruction
CMS-10380
Cycle II FOA
(Cycle II) Application
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle II - FOA
(Cycle II) Quarterly Report
Modified
224
5376
0
Form and Instruction
CMA-10380
Cycle II FOA
Form and Instruction
CMS-10380
Cycle II - Quarterly Report Template
(Cycle II) Transaction Data Collection
Modified
224
8960
0
Form and Instruction
CMS-10380
Cycle II FOA
(Cycle III) Annual Report
New
56
2240
0
Form and Instruction
CMS-10380
Cycle III - Annual Reporting Template
(Cycle III) Application
New
56
8960
0
Other-Data
(Cycle III) Final Report
New
56
2240
0
Form and Instruction
CMS-10380
Cycle III - Final Report Template
(Cycle III) Quarterly Report
New
224
5824
0
Form and Instruction
CMS-10380
Cycle III - Quarterly Report Template
(Cycle III) Transaction Data Collection
New
280
8400
0
Form and Instruction
CMS-10380
Cycle III - Data
Total burden requested under this ICR:
1463
55400
0
To view an IC, click on IC Title