Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Application and Re-application processes Modified 10 5000 0 Form and Instruction CMS-10394
Form and Instruction CMS-10394
Form and Instruction CMS-10394
Instruction
Form and Instruction CMS-10394
Form and Instruction CMS-10394
Instruction
Total burden requested under this ICR: 10 5000 0  
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