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 Instruction
Form and Instruction CMS-10552 Online Attestation Forms
§495.24(d) Objectives/Measures Medicaid (eligible hospitals/CAHs) Unchanged 133 988 0
§495.24(e) Objectives/Measures (hospitals/CAHs) Modified 3300 21450 0
§495.316 – Quarterly Reporting Unchanged 224 4480 0
Total burden requested under this ICR: 83657 621318 0  
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