Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 34 324870 0 Instruction
Form CMS-10184
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 408 40800 0 Instruction
Form CMS-10184
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 408 40800 0 Instruction
Form and Instruction CMS-10184
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 34 3400 0 Instruction
Form CMS-10184
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 408 40800 0 Form CMS-10184
Instruction
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 34 34000 0 Instruction
Form CMS-10184
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility Modified 34 34000 0 Form and Instruction CMS-10184
Instruction
Payment Error Rate Measurement - State Medicaid and CHIP Eligibility (MEQC Substitution) Modified 19 407094 0 Form and Instruction CMS-10184A
Form and Instruction CMS-10184B
Form and Instruction CMS-10184E
Form and Instruction CMS-10184
Reinstatement of Prior Burden Estimates for CMS-10184E Modified 204 20400 0 Form and Instruction 101814E
Form and Instruction CMS 10184
Total burden requested under this ICR: 1583 946164 0  
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