Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Certification and Recertification New 3510 1379 0
Conflict of Interest Modified 931500 1085166 0
Consumer authorization forms New 5610 6 0 Form and Instruction CMS-10472 Model Authorization Form (Navigators)
Form and Instruction CMS-10472 Model Aurthorization Form - (Navigators - Spanish)
Training Registration New 3510 1327 0 Form and Instruction CMS-10472 Training Quality Questionnaire
Form and Instruction CMS-10472 Sample Training Completion Certificate
Form and Instruction CMS-10472 Registration Portal
Total burden requested under this ICR: 944130 1087878 0  
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