Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Compliance Review Modified 50 500 0 Form and Instruction CMS-10662
Form and Instruction CMS-10662
Corrective Action Plan and Monitoring Modified 10 500 0 Form and Instruction CMS-10662
Form and Instruction CMS-10662
Total burden requested under this ICR: 60 1000 0  
To view an IC, click on IC Title