Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
(Cycle I) Application re-release Removed 0 0 0 Form and Instruction CMS-10380
(Cycle I) Final Report New 51 2040 0 Form and Instruction CMS-10380
(Cycle I) Quarterly Reports Modified 204 4896 0 Form and Instruction CMS-10380
(Cycle I) Transaction Data Collection Modified 204 8160 0 Form and Instruction CMS-10380
(Cycle II ) Final Report - end of grant Modified 56 2240 0 Form and Instruction CMS-10380
(Cycle II) Annual Report Modified 56 2240 0 Form and Instruction CMS-10380
(Cycle II) Application Modified 56 8960 0 Form and Instruction CMS-10380
(Cycle II) Quarterly Report Modified 224 5376 0 Form and Instruction CMA-10380
(Cycle II) Transaction Data Collection Modified 224 8960 0 Form and Instruction CMS-10380
Total burden requested under this ICR: 1075 42872 0  
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