Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Development of Agreement Modified 125 125 0 Form CMS-10326
Electronic Submission to CMS Modified 125 10 0 Form CMS-10326
Hardcopy Submission to FI or MAC Modified 125 31 0 Form CMS-10326
Total burden requested under this ICR: 375 166 0  
To view an IC, click on IC Title