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 9200 2900 0 Form and Instruction CMS-R-235 Form-R-235 DUA
Form and Instruction CMS-R-235 Form-R-235A Addendum
Form and Instruction CMS-R-235 CMS-R-235U
Form and Instruction CMS-R-235 CMS-R-235L
Total burden requested under this ICR: 9200 2900 0  
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