Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Quality Improvement Strategy Implementation Plan and Progress Report Form (Existing Issuer) New 250 4500 0
Quality Improvement Strategy Implementation Plan and Progress Report Form (New Issuer) Modified 50 4000 0 Form and Instruction CMS-10540
Form and Instruction cms-10540
Form and Instruction CMS-10540
Total burden requested under this ICR: 300 8500 0  
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