Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Commercial Audit Compliance Email New 500 125 0 Instruction
Instruction
Delinquent Audit Follow-up Email and Attestation New 42000 10500 0 Form and Instruction 2
Delinquent Audit Follow-up General Email Blast New 252000 12600 0 Instruction
PRF Commercial Audit Form New 21000 15750 0 Form and Instruction 1
Provider Relief Fund (PRF) Questioned Cost Attestation Form New 70000 350000 0 Form and Instruction 3
Total burden requested under this ICR: 385500 388975 0  
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