Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Agreements Modified 12 1260 0
Application Development Modified 12 12708 0
Eligibility Notices Modified 12 1500 600000
Exemption Applications - Eligibility for Exemptions Modified 2000000 540000 0 Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Periodic Electronic Notifications Modified 12 252 0
Redeterminations Modified 12 16 0
Verification of New and Changed Applications Modified 12 16 0
Total burden requested under this ICR: 2000072 555752 600000  
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