PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
§ 495.24(d)-Objectives/Measures (EPs)
Removed
0
0
0
Instruction
Form and Instruction
CMS-10552
Online Attestation Forms
§495.24(d) Objectives/Measures Medicaid (eligible hospitals/CAHs)
Removed
0
0
0
§495.24(e) Objectives/Measures (hospitals/CAHs)
Modified
3300
21450
0
Form and Instruction
CMS-10552
Attestation screen shots
Instruction
§495.316 – Quarterly Reporting
Removed
0
0
0
Total burden requested under this ICR:
3300
21450
0
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