Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
SMART SBE Annual Alternative Redeterninations Template New 3 573 0 Form and Instruction CMS-10507 SMART SBE Annual Alternative Redeterminations Template
State-based Marketplace Annual Reporting Tool (SMART) Modified 18 3708 0 Form and Instruction CMS-10507 SMART Tool
Total burden requested under this ICR: 21 4281 0  
To view an IC, click on IC Title