Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-1500 (02-12)/CMS-1490S New 988005045 21418336 0 Form and Instruction CMS-1490S
Form and Instruction CMS-1500(02-12)
Total burden requested under this ICR: 988005045 21418336 0  
To view an IC, click on IC Title