Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Income and Eligibility Verification System Reporting and Supporting Regulations in 42 CFR 431.17, 431.306, 435.910, 435.920, 435.940-435.960 Migrated 54 129230 892000 Form HCFA-R-0074
Total burden requested under this ICR: 54 129230 892000  
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