Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Administrative Requirements for Section 6071 of the DRA (CMS-10249) Modified 28575 14220 0 Form CMS-10249
Instruction
Form and Instruction CMS-10249
Instruction
Instruction
Instruction
Form CMS-64.9i
Total burden requested under this ICR: 28575 14220 0  
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