Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Business Proposal Forms For Quality Improvement Organizations (QIOs) Modified 21 1785 0 Form CMS 718-721 CMS 718-721.J-8a 9th SOW CKD Spreadsheet
Form CMS 718-721 CMS 718-721.J-8a 9th SOW Disparities Spreadsheet
Form CMS-718-721 CMS-718-721.J-8a 9th SOW Patient Pathways Spreadsheet
Instruction
Form CMS-718-721 CMS-718-721.Travel Detail Chart
Instruction
Form CMS-718-721 CMS-718-721.BP9SOW - Forms - OCN-0938-0579
Total burden requested under this ICR: 21 1785 0  
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