Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Health Care Prepayment Plans (HCPPs) under Section 1833 Modified 18 480 0 Instruction
Form CMS-276 4th Quarter Interim Cost Report
Form CMS-276 Budget Forecast
Form CMS-276 Interim Cost Report
Form CMS-276 Final Cost Report
Health Maintenance Organizations (HMOs) and Competitive Medical Plans (CMPs) under Section 1876 Modified 18 648 0 Instruction
Form CMS-276 Budget Forecast
Form CMS-276 Interim Cost Report
Form CMS-276 4th Quarter Interim Report
Form CMS-276 Final Cost Report
Total burden requested under this ICR: 36 1128 0  
To view an IC, click on IC Title