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
Prepaid Health Plan Cost Report (HCPPS)
Modified
36
960
0
Instruction
Form
CMS-276
CMS-276.4th Quarter Report
Form
CMS-276
CMS-276.Budget Forecast
Form
CMS-276
CMS-276.Final Cost Report
Form
CMS-276
CMS-276.Interim report
Prepaid Health Plan Cost Report (HMO)
New
92
4324
0
Instruction
Form
CMS-276
Interim Report
Form
CMS-276
Final Cost Report
Form
CMS-276
4th Quarter Cost Report
Form
CMS-276
Budget Forecast
Total burden requested under this ICR:
128
5284
0
To view an IC, click on IC Title
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