Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Beneficiary Feedback (sec. 447.203(b)(4)) New 50 6450 0
Corrective Action Plan (sec. 447.203(b)(5)) New 10 630 0
Documentation of Access to Care and Service Payment Rates (sec. 447.203(b)(1) - (3)) New 50 15500 0
Monitoring Access (sec. 447.203(b)(3)(ii)) New 22 1474 0
Public Process to Engage Stakeholders (sec. 447.204(a)(1) and (2) New 22 1386 0
Total burden requested under this ICR: 154 25440 0  
To view an IC, click on IC Title