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 9240 2742 0 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_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: 9240 2742 0  
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