Information Collection List

IC Title Status Responses Hours Dollars Document Type Form No. Form Name
Attachment B- Data Use Agreement Modified 114 10 0 Form and Instruction N/A
Attachment C- Registration Form Modified 129 11 0 Form and Instruction N/A
Attachment D: Health Plan Information Form Modified 456 228 0 Form and Instruction N/A
Attachment E- Data Files Submission Modified 644 644 0 Form and Instruction N/A
Total burden requested under this ICR: 1343 893 0  
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