Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
§ 495.24(d)-Objectives/Measures (EPs) Modified 80000 594400 0
§495.210 - Gather information for attestation (MA EPs) Removed 0 0 0
§495.210 –Attestation on behalf of MA EPs Removed 0 0 0
§495.24(d) Objectives/Measures Medicaid (eligible hospitals/CAHs) New 133 988 0
§495.24(e) Objectives/Measures (hospitals/CAHs) Modified 3300 23694 0
§495.316 – Quarterly Reporting Modified 56 4480 0
Total burden requested under this ICR: 83489 623562 0  
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