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View Information Collection (IC)

View Information Collection (IC)

GenIC #62 (New): Data Collection for Section 1003 of the SUPPORT Act CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10398 #62 Yes Yes Fillable Fileable
Instruction No   Printable Only

Health Health Care Services

 

15 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 60 0 60 0 0 0
Annual IC Time Burden (Hours) 840 0 840 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 04/03/2020
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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