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 Statement
Migrated
3744
139560
350000
Form
CMS-304
Form
304A
Total burden requested under this ICR:
3744
139560
350000
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
