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
Annual Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Participation Report
Unchanged
56
1568
0
Form
CMS-416
Annual EPSDT Participation Report
Instruction
Training Modules
New
56
266
0
Other-Training Modules
Total burden requested under this ICR:
112
1834
0
To view an IC, click on IC Title
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