Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Level I Monitoring Data Entry New 24000 6000 0 Form and Instruction CMS-10525
Level II Monitoring Data Entry New 40000 40000 0 Form and Instruction CMS-10525
Form and Instruction CMS-10525
Total burden requested under this ICR: 64000 46000 0  
To view an IC, click on IC Title