Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Agreements Modified 15 105 0
Application Development (Edits) Modified 5 200 0
Eligibility Notices Modified 5 125 0
Exemption Applications - Eligibility for Exemptions Modified 849 229 0 Form and Instruction CMS-10466
Form and Instruction CMS-10466
Form and Instruction CMS-10466
Periodic Electronic Notifications Modified 5 105 0
Redeterminations Modified 40 55 0
Verification of New and Changed Applications Modified 849 1121 0
Total burden requested under this ICR: 1768 1940 0  
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