Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Compliance Review Modified 100 1000 0 Form and Instruction CMS-10662 Operating_Rule_Response_Attestation
Form and Instruction CMS-10662 Compliance_Review_Package
Form and Instruction CMS-10662 Compliance Review Program Triage Questionnaire Clearinghouses
Form and Instruction CMS-10662 Compliance Review Program Triage Questionnaire Health Plans
Form and Instruction CMS-10662 Compliance Review Program Triage Questionnaire Providers
Structuring and monitoring the CAP Modified 40 2040 0 Form and Instruction CMS-10662 Notice_of_Corrective_Action_
Form and Instruction CMS-10662 Corrective Action Follow-up Letter
Total burden requested under this ICR: 140 3040 0  
To view an IC, click on IC Title