Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Adult HCBS Registration Form Modified 51 4 563 Form 1
Data Files Submission Modified 52 52 5182 Form and Instruction 4
Data Use Agreement Unchanged 51 3 0 Form and Instruction 3
Program Information Form Modified 51 4 563 Form and Instruction 2
Total burden requested under this ICR: 205 63 6308  
To view an IC, click on IC Title