Information Collection List

IC Title	Status	Responses	Hours	Dollars	Document Type	Form No.
Trial Year and Routine Audits	Modified	40	26840	0	Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form and Instruction	CMS-10630
					Form	CMS-10630
					Form and Instruction	CMS-10630
					Form	CMS-10630
					Form and Instruction	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
					Form	CMS-10630
					Form and Instruction	CMS-10630
					Form and Instruction	CMS-10630
Total burden requested under this ICR:		40	26840	0
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