Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
CMS-10549 GenIC#7 - MCBS COVID-19 Rapid Response Supplement Testing New 10949 2737 0 Form and Instruction CMS-10549 Questionnaire
CMS-10549.GenIC #4: MCBS Testing of Revised Advance Letter Unchanged 11000 1 0 Instruction
Instruction
CMS-10549.GenIC#3 - MCBS Cognitive Testing Self-Management Items Unchanged 41 22 0 Form CMS-10549.GenIC#3 Attachment C Screening Instrument
Form and Instruction CMS-10549.GenIC#3 Attachment E Questionnaire
Total Burden Actually Used for Information Collections Under Currently Approved ICR: 21990 2760 0  
Total Burden Currently Requested for Information Collections Under Currently Approved ICR: 0 0 0  
To view an IC, click on IC Title