Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Allowed Amount File	Modified	10032	130416	0	Form and Instruction	CMS-10715
Allowed Amount File	Modified	10032	130416	0	Form and Instruction	CMS-10715
Contraceptive Disclosure	New	836	71060	0	Form and Instruction	CMS-10715
Customer Service Representatives Training	Modified	8360	16720	0	Form and Instruction	CMS-10715
In-Network Rate File	Modified	10032	310992	0	Form and Instruction	CMS-10715
In-Network Rate File	Modified	10032	310992	0	Form and Instruction	CMS-10715
Internet-based Self-Service Tool	Modified	836	6738160	0	Form and Instruction	CMS-10715
Internet-based Self-Service Tool	Modified	836	6738160	0	Form and Instruction	CMS-10715
Prescription Drug File	Modified	10032	310992	0	Other-Data Elements
Requests for Mailed Disclosures	Modified	54340	13585	0	Other-Instruction
Total burden requested under this ICR:		94468	7591925	0
To view an IC, click on IC Title