Information Collection List

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