Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Beneficiaries New 517038 170623 0
Private Sector Modified 2516 1177488 0
State Governments Modified 2959 91678 0 Form and Instruction CMS-10553
Form and Instruction CMS-10553
Form and Instruction Appendix A
Total burden requested under this ICR: 522513 1439789 0  
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