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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
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle I FOA
Form and Instruction
CMS-10380
Cycle 1 - Final report template
(Cycle I) Quarterly Reports
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle I - Quarterly Report
(Cycle I) Transaction Data Collection
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle I FOA
(Cycle II ) Final Report - end of grant
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle II FOA
(Cycle II) Annual Report
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle II FOA
(Cycle II) Quarterly Report
Removed
0
0
0
Form and Instruction
CMA-10380
Cycle II FOA
Form and Instruction
CMS-10380
Cycle II - Quarterly Report Template
(Cycle II) Transaction Data Collection
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle II FOA
(Cycle III) Annual Report
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle III - Annual Reporting Template
(Cycle III) Application
Removed
0
0
0
Other-Data
(Cycle III) Final Report
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle III - Final Report Template
(Cycle III) Quarterly Report
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle III - Quarterly Report Template
(Cycle III) Transaction Data Collection
Removed
0
0
0
Form and Instruction
CMS-10380
Cycle III - Data
Effective Rate Review Program
New
49
245
0
Rate Review Grant - Cycle IV Annual Report
New
42
1680
0
Form and Instruction
CMS-10380
Rate Review Grant cycle IV - Annual Report
Rate Review Program Grant - Cycle IV Application
New
42
6678
0
Rate Review Program Grant - Cycle IV Final Report
New
42
1680
0
Rate Review Program Grant - Cycle IV Quarterly Report
New
168
4368
0
Form and Instruction
CMS-10380
Rate Review Program Quarterly Report
Transaction Data Collection
New
210
6300
0
Form
CMS-10380
Grant Program Data Dictionary
Total burden requested under this ICR:
553
20951
0
To view an IC, click on IC Title