Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Intermediate Care Facility for the Mentally Retarded or Persons with Related Conditions ICF/MR Survey Report Form (3070G-I) Modified 6446 19338 0 Form and Instruction CMS-3070G
Form and Instruction CMS-3070H
Total burden requested under this ICR: 6446 19338 0  
To view an IC, click on IC Title