Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application Modified 50 28200 42770 Form and Instruction CMS-10371 FOA
Instruction
Performance Reviews New 50 5750 0 Form and Instruction CMS-10371 FOA
Instruction
Periodic Reporting New 100 10600 0 Form and Instruction CMS-10371 FOA
Instruction
Public New 200 1700 0 Form and Instruction CMS-10371 FOA
Instruction
Quarterly New 200 23000 0 Form and Instruction CMS-10371 FOA
Form and Instruction CMS-10371 Quarterly Instrument
Form and Instruction CMS-10371 Quarterly Data Elements
Instruction
Form and Instruction CMS-10371 Quarterly Instrument
Form and Instruction CMS-10371 Quarterly Data Elements
Work Plan Update New 100 400 0 Form and Instruction CMS-10371 FOA
Instruction
Total burden requested under this ICR: 700 69650 42770  
To view an IC, click on IC Title