Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Qualification-Medicare Advantage Application for Coordinated Care Private Fee-For-Service, Regional Preferred Preferred Provider Organization, Service Area Expansion for Coordinated Care....... Migrated 350 20100 0 Form CMS-10117
Form CMS-10118
Form CMS-10136
Form CMS-10135
Form CMS-10119
Total burden requested under this ICR: 350 20100 0  
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