Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Reconciliation of State Invoice and Prior Quarter Adjustment Statement and Supporting Regulations -- 42 CFR 447.500-42 CFR 447.550 Migrated 1460 132120 1321200000 Form HCFA-304
Form 304A
Total burden requested under this ICR: 1460 132120 1321200000  
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