Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-10549.GenIC #4: MCBS Testing of Revised Advance Letter New 11000 1 0 Instruction
Instruction
CMS-10549.GenIC #5: MCBS Testing Revisions to Advance Mailing Materials New 12000 0 0 Instruction
Instruction
Instruction
CMS-10549.GenIC#3 - MCBS Cognitive Testing Self-Management Items New 41 22 0 Form CMS-10549.GenIC#3 Attachment C Screening Instrument
Form and Instruction CMS-10549.GenIC#3 Attachment E Questionnaire
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 23041 23 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title