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