Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
§ 495.x-Objectives/Measures (EPs) New 609100 4178426 0
§495.210 - Gather information for attestation (MA EPs) New 13635 10226 0
§495.210 –Attestation on behalf of MA EPs New 13635 3409 0
§495.316 – Quarterly Reporting New 224 4480 0
§495.6 Objectives/Measures (hospitals/CAHs) New 4900 33614 0
Total burden requested under this ICR: 641494 4230155 0  
To view an IC, click on IC Title