MSInteractive Survey Tool for cms.hhs.gov website

MSInteractive Survey Tool for cms.hhs.gov website

OMB: 0938-0900

IC ID: 8736

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MSInteractive Survey Tool for cms.hhs.gov website
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10072 Yes Yes


    

7,000 0
   
Individuals or Households
 
   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 7,000 0 4,667 0 0 2,333
Annual IC Time Burden (Hours) 583 0 0 0 0 583
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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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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