Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Development of Agreement New 125 125 0 Form and Instruction 1
Electronic Submission to CMS New 125 10 0 Form and Instruction 1
Hardcopy Submission to FI or MAC New 125 31 0 Form and Instruction 1
Total burden requested under this ICR: 375 166 0  
To view an IC, click on IC Title