Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Effective Rate Review Program Modified 51 255 0
Rate Review Grant - Cycle IV Annual Report Modified 18 1680 0 Form and Instruction CMS-10380 Rate Review Grant cycle IV - Annual Report
Rate Review Program Grant - Cycle IV Application Removed 0 0 0
Rate Review Program Grant - Cycle IV Final Report Modified 18 1890 0
Rate Review Program Grant - Quarterly Report Modified 72 4280 0 Form and Instruction CMS-10380 Rate Review Program Quarterly Report
Transaction Data Collection Modified 90 6300 0 Form CMS-10380 Grant Program Data Dictionary
Total burden requested under this ICR: 249 14405 0  
To view an IC, click on IC Title