Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
State Flexibility Grant I - Reporting New 30 340 0
State Flexibility Grant II - Reporting Modified 145 1972 0 Form and Instruction CMS-10657 State Flexibility Grant Annual Report Template
Form and Instruction CMS-10657 State Flexibility Grant Quarterly Report Template
Form and Instruction CMS-10657 State Flexibility Grant Final Report Template
Total burden requested under this ICR: 175 2312 0  
To view an IC, click on IC Title