Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Data Management Plan Self-Attestation Questionnaire (DMP SAQ) Modified 1000 1500 0 Form and Instruction CMS-R-235
Forms used to update the DUA Information Modified 2800 476 0 Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Limited Data Set Data Use Agreement (DUA) Modified 500 210 0 Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
RIF Request Packet Modified 3455 1624 0 Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Form and Instruction CMS-R-235
Total burden requested under this ICR: 7755 3810 0  
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