Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI (CMS-21 and CMS-21B) Unchanged 224 4480 0 Form and Instruction CMS-21
Form and Instruction CMS-21B
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-37) Modified 224 4480 0 Form CMS-37
Form CMS-37.3 Summary
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-64) Unchanged 224 9184 0 Form CMS-64
Form CMS-64
Total burden requested under this ICR: 672 18144 0  
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