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
Part C Medicare Advantage Application and 1876 Cost Plan Expansion Application
Modified
310
10941
0
Form and Instruction
CMS-10237
CY 2018 Part C - Medicare Advantage and 1876 Cost Plan Expansion Application
Instruction
Form
CMS-10237
CY 2018 Medicare Advantage HSD Exception Request Template
Form
CMS-10237
CY 2018 Medicare Advantage Facility HSD Table
Form
CMS-10237
CY 2018 Medicare Advantage Provider HSD Table
Total burden requested under this ICR:
310
10941
0
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