PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Deemed Compliance Reporting
Modified
427
213
0
SBC Disclosure
Modified
24417090
214791
4553787
Form and Instruction
CMS-10407
Maternity Scenario
Form and Instruction
CMS-10407
Diabetes Narrative
Form
CMS-10407
Uniform Glossary
Form and Instruction
CMS-10407
What the plan covers and What you pay (No Answers)
Form and Instruction
CMS-10407
What the plan covers and what you play (Yes Answes)
Form and Instruction
CMS-10407
Group Instructions
Form and Instruction
CMS-10407
Instructions - Individual
Form and Instruction
CMS-10407
Completed SBC Sample
Form and Instruction
CMS-10407
Blank Template
Form
CMS-10407
Coverage Examples - Narrative Foot Fracture
Form and Instruction
CMS-10407
Coverage Calculator Instructions
Other-Coverage Calculator
Form and Instruction
CMS-10407
Having a baby
Form and Instruction
CMS-10407
Managing diabetes
Form
CMS-10407
SBC Glossary Anchor
Form and Instruction
CMS-10407
Simple Fracture
Total burden requested under this ICR:
24417517
215004
4553787
To view an IC, click on IC Title
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