Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Monthly Data Reports Modified 900 10800 0 Form and Instruction CMS-10515 CMS Enrollment Payment Data Template
Monthly Data Submission Accuracy Certification Form Modified 900 153 0 Form and Instruction CMS-10515 Monthly Data Submission Accuracy Certification Form
Payment Collections Operations Contingency Plan Removed 0 0 0 Form and Instruction CMS-10515 CMS Enrollment Payment Data Template
Testing & Development Removed 0 0 0
Total burden requested under this ICR: 1800 10953 0  
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