Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Level I Monitoring Data Entry Modified 480 153600 0 Form and Instruction CMS-10525
Instruction
Instruction
Instruction
Instruction
Level II Monitoring Data Entry Modified 480 150000 0 Form and Instruction CMS-10525
Instruction
Instruction
Instruction
Instruction
Quality Measure(s) Data Entry New 480 27000 0 Form and Instruction CMS-10525
Instruction
Instruction
Instruction
Total burden requested under this ICR: 1440 330600 0  
To view an IC, click on IC Title