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
Administrative Requirements for Section 6071 of the DRA (CMS-10249)
New
304
10394
0
Form and Instruction
CMS-10249
Operational Protocol
Form and Instruction
CMS-10249
Budget Form
Form and Instruction
CMS-10249
MFP Demonstration Financial Form
Form and Instruction
CMS-10249
Medical Assistance Expenditures by Type of Service
Other-Draft Proposed Content for MFP Services File
Other-Proposed Content for Monthly Finder Files for MFP Grantees
Form
CMS-10249
6352 MFP Questionnaire
Total burden requested under this ICR:
304
10394
0
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