Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
State Health Insurance Assistance Program (SHIP) Client Contact Form, Public and Media Activity Form, and Resource Report Modified 1056000 87965 0 Form CMS-10028-A
Instruction
Form CMS-10028-C
Form CMS-10028-B
Instruction
Instruction
Total burden requested under this ICR: 1056000 87965 0  
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