Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Effective Rate Review Program Modified 49 245 0
Rate Review Grant - Cycle IV Annual Report Modified 42 1680 0 Form and Instruction CMS-10380 Rate Review Grant cycle IV - Annual Report
Rate Review Program Grant - Cycle IV Application Unchanged 42 6678 0
Rate Review Program Grant - Cycle IV Final Report Unchanged 42 1680 0
Rate Review Program Grant - Cycle IV Quarterly Report Unchanged 168 4368 0 Form and Instruction CMS-10380 Rate Review Program Quarterly Report
Transaction Data Collection Unchanged 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