Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Initial and renewal MOC Submissions Modified 220 1320 0 Form CMS-10565
Form CMS-10565
Off-cycle Submission of Summaries (MOC Changes) Modified 103 412 0 Form CMS-10565
Form CMS-10565
Total burden requested under this ICR: 323 1732 0  
To view an IC, click on IC Title