PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
State Children's Health Insurance Program and Supporting Regulations in 42 CFR 457.525, 457.740, and 457.1180
Modified
16024071
803280
0
Instruction
Form
CMS-R-308
Statistical Enrollment Reports Screenshots (Forms: CMS-21E; CMS-64.21E; CMS-64.EC; CMS-21PW; and Form Gender, Race, Ethnicity)
Total burden requested under this ICR:
16024071
803280
0
To view an IC, click on IC Title
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