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
Initial and renewal MOC Submissions
New
313
1878
0
Form
CMS-10565
Model of Care Matrix Upload Document for Initial Application and Renewal
Off-cycle Submission of Summaries (MOC Changes)
New
63
252
0
Form
CMS-10565
Revised Model of Care Matrix Upload Document
Total burden requested under this ICR:
376
2130
0
To view an IC, click on IC Title
An official website of the United States government
The .gov means it's official.
The site is secure.
