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
Federal - Creditable Coverage Disclosure to CMS OnLine Form and Instructions
Modified
87
7
0
Form and Instruction
CMS-10198
Creditable Coverage Disclosure to CMS
Private Sector - Creditable Coverage Disclosure to CMS OnLine Form and Instructions
Modified
83864
7125
0
Form and Instruction
CMS-10198
Creditable Coverage Disclosure to CMS
State, Local, or Tribal Governments - Creditable Coverage Disclosure to CMS OnLine Form and Instructions
Modified
2793
232
0
Total burden requested under this ICR:
86744
7364
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
