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
Monthly Data Reports
Modified
6900
82800
0
Monthly Data Submission Accuracy Certification Form
Modified
6900
1173
0
Form and Instruction
CMS-10515
Monthly Data Submission Accuracy Certification Form
Payment Collections Operations Contingency Plan
Modified
575
9200
0
Form and Instruction
CMS-10515
CMS Enrollment Payment Data Template
Testing & Development
Modified
400
1200
0
Total burden requested under this ICR:
14775
94373
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.
