Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Mode Experiment Modified 7850 1021 0 Form CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
National Implementation Modified 631200 82056 0 Form CMS-10500
Form and Instruction CMS-10500
Form and Instruction CMS-10500
Patient Records Modified 2174 72131 0 Form and Instruction CMS-10500
Form CMS-10500
Form and Instruction CMS-10500
Total burden requested under this ICR: 641224 155208 0  
To view an IC, click on IC Title