Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Collection of Dental Benefit Information Modified 51 1020 0 Instruction
Other-CMS-10291.Draft Benefit Template
Other-CMS-10291.Guidance
Collection of Dental Provider Information Modified 204 8160 0 Instruction
Form CMS-10291
Total burden requested under this ICR: 255 9180 0  
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