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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Standard Reporting Before Loan Repayment - Start-up/Solvency Loan(s) Recipients
Modified
276
5520
0
Form and Instruction
CMS-10392
Reporting Templates
Form and Instruction
CMS-10392
CO-OP FOA
Audits
Modified
23
2760
0
Form and Instruction
CMS-10392
CO-OP FOA
Core Contracts
New
23
115
0
Form and Instruction
CMS-10392
CO-OP FOA
Disbursement Requests
New
23
736
0
Form and Instruction
CMS-10392
CO-OP FOA
Enhanced Reporting (Before Loan Repayment) - Start-up/Solvency Loan Recipients
Modified
20
60
0
Form and Instruction
CMS-10392
Reporting Templates
Form
CMS-10392
Semi-Annual Report
Form and Instruction
CMS-10392
Quarterly Financial Report
Form and Instruction
CMS-10392
CO-OP FOA
Loan Agreement Acceptance
Modified
24
384
0
Form and Instruction
CMS-10392
CO-OP FOA
Reconsiderations & Appeals
Modified
103
1545
0
Form and Instruction
CMS-10392
CO-OP FOA
Recordkeeping
Modified
23
1380
0
Form and Instruction
CMS-10392
CO-OP FOA
Request for additional funding
New
15
300
0
Form and Instruction
CMS-10392
CO-OP FOA
Standard Reporting After Loan Repayment - Start-up/Solvency Loan Recipients
Modified
23
460
0
Form and Instruction
CMS-10392
Reporting Templates
Form and Instruction
CMS-10392
CO-OP FOA
Start-up & Solvency Loan Application
Modified
147
75852
0
Form and Instruction
CMS-10392
CO-OP FOA
Updated Business Plans
New
10
160
0
Form and Instruction
CMS-10392
CO-OP FOA
Total burden requested under this ICR:
710
89272
0
To view an IC, click on IC Title