PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Deemed Compliance Reporting
Unchanged
84364
320
0
SBC Disclosure
Modified
15927928
322411
1592793
Form and Instruction
CMS-10407
Maternity Scenario
Form and Instruction
CMS-10407
Diabetes Scenario
Form and Instruction
CMS-10407
Diabetes Scenario Narrative
Form
CMS-10407
Uniform Glossary
Form and Instruction
CMS-10407
Why This Matters (No Answers)
Form and Instruction
CMS-10407
Why This Matters (Yes Answes)
Form and Instruction
CMS-10407
Group Instructions
Form and Instruction
CMS-10407
Instructions - Individual
Form and Instruction
CMS-10407
Completed SBC First Year
Form and Instruction
CMS-10407
Completed SBC Second Year
Form and Instruction
CMS-10407
Blank SBC template second year
Form and Instruction
CMS-10407
Blank SBC Template First Year
Total burden requested under this ICR:
16012292
322731
1592793
To view an IC, click on IC Title
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