Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Agreements Modified 11 1155 0
Application Development (Edits) Modified 11 440 0
Eligibility Notices Modified 11 1375 0
Exemption Applications - Eligibility for Exemptions Modified 45000 12150 0 Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Periodic Electronic Notifications Modified 11 231 0
Redeterminations Modified 11 15 0
Verification of New and Changed Applications Modified 11 15 0
Total burden requested under this ICR: 45066 15381 0  
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