View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Administrative Requirements for Section 6071 of the DRA (CMS-10249)
 
No New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10249 Yes No Fillable Fileable
Form and Instruction CMS-10249 Yes Yes Fillable Fileable
Form and Instruction CMS-10249 Yes Yes Fillable Fileable
Form and Instruction CMS-10249 Yes Yes Fillable Fileable
Other-Draft Proposed Content for MFP Services File No No Printable Only
Other-Proposed Content for Monthly Finder Files for MFP Grantees No No Printable Only
Form CMS-10249 No No Printable Only

Health Health Care Services

 

31 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 304 0 304 0 0 0
Annual IC Time Burden (Hours) 10,394 0 10,394 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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