Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Annual Report, data mining reporting only Unchanged 13 13 0
Certification/Recertification Application Unchanged 50 250 0
State Medicaid Fraud Control Units Annual Report and Recertification Application Unchanged 50 4400 0
Total burden requested under this ICR: 113 4663 0  
To view an IC, click on IC Title