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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Adult HCBS Registration Form
Modified
51
4
0
Form
1
Attachment A: Adult HCBS Registration Form
Data Files Submission
Unchanged
52
52
0
Form and Instruction
4
Data Files Submission
Data Use Agreement
Unchanged
51
3
0
Form and Instruction
3
Data Use Agreement
Program Information Form
Unchanged
51
4
0
Form and Instruction
2
Program Information Form
Total burden requested under this ICR:
205
63
0
To view an IC, click on IC Title