Information Collection List

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