PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Reconciliation of State Invoice and Prior Quarter Adjustment
Migrated
1460
132120
1321200000
Form
HCFA-304A
Form
HCFA-304
Total burden requested under this ICR:
1460
132120
1321200000
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The .gov means it's official.
The site is secure.
