Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
State Plan Under Title XIX of the Social Security Act (Base plan pages)	Modified	1120	22400	0	Form and Instruction	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
					Form	CMS-179
Total burden requested under this ICR:		1120	22400	0
To view an IC, click on IC Title