Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Agreements Modified 18 1890 0
Application Development Modified 18 19062 0
Eligibility Notices Modified 18 2250 600000
Exemption Applications - Eligibility for Exemptions Modified 12000000 3240000 0 Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Periodic Electronic Notifications Modified 18 378 0
Redeterminations Modified 18 3 0
Verification of New and Changed Applications Modified 18 22 0
Total burden requested under this ICR: 12000108 3263605 600000  
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