Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Development of Agreement Unchanged 125 125 0 Form CMS-10326
Electronic Submission to CMS Unchanged 125 10 0 Form CMS-10326
Hardcopy Submission to FI or MAC Unchanged 125 31 0 Form CMS-10326
Total burden requested under this ICR: 375 166 0  
To view an IC, click on IC Title