Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
PECOS Web Security Consent Form - Individuals Removed 0 0 0 Form and Instruction CMS-10220
PECOS Web Security Consent Form - Organizations Removed 0 0 0 Form and Instruction CMS-10220
Security Consent and Surrogate Authorization Form - Providers New 226100 226100 0 Form and Instruction CMS-10220
Total burden requested under this ICR: 226100 226100 0  
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