Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Consumer Survey Unchanged 400 132 0 Form and Instruction CMS-10632 Appendix B Consumer Survey: Informed Consent and Survey
Partner Survey Unchanged 60 20 0 Form and Instruction CMS-10632 Appendix A - Partner Survey: Informed Consent and Survey
Total burden requested under this ICR: 460 152 0  
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