Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Quarterly Children's Health Insurance Program Statement of Expenditures for Title XXI (CMS-21 and CMS-21B)	Unchanged	224	4480	0	Form and Instruction	CMS-21
					Form and Instruction	CMS-21B
					Form	CMS-21
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-37)	Modified	224	4480	0	Form	CMS-37
					Form	CMS-37.3 Summary
					Form	CMS-10529
Quarterly Medicaid Statement of Expenditures for the Medical Assistance Program (CMS-64)	Modified	224	9184	0	Form	CMS-64
					Form	CMS-64
					Form	CMS-64.9
					Form	CMS-64.9
					Form	CMS-64.9
					Form	CMS-64.21U
					Form	CMS-64.9
					Form	CMS-64.9
					Form	CMS-64.9T
					Form	CMS-64.21U
					Form	CMS-10529
Total burden requested under this ICR:		672	18144	0
To view an IC, click on IC Title