Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Conducting CMRs with the standardized format and Fulfillment burden New 1875000 1093750 1706250 Form and Instruction CMS-10396
Programming the standardized format New 673 80760 0 Form and Instruction CMS-10396
Training MTM providers to use the standardized format New 673 5384 0 Form and Instruction CMS-10396
Total burden requested under this ICR: 1876346 1179894 1706250  
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