PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Part C Medicare Advantage Applications and 1876 Cost Plan Expansion Application (CY 2012)
Modified
378
13296
0
Form and Instruction
CMS-10237
2013_HSD_Exception_Request_Template
Instruction
Form
CMS-10237
CMS-10237_MA_Facility_Table_2013
Form
CMS-10237
CMS-10237_MA_Provider_Table_2013.
Form and Instruction
CMS-10237
CMS-10237 Part C MA and Cost Plan Applications
Total burden requested under this ICR:
378
13296
0
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