According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it displays a valid OMB control number. The valid OMB control number for this information collection is 0938-0778. The time required to collect this information is estimated to average 1 hour per collection period, including the time to review instructions, search existing data resources, gather the data needed, and complete and review the information collection. If you have any comments concerning the accuracy of the time estimate(s) or suggestions for improving this form, please write to: CMS, Attn: Reports Clearance Officer, 7500 Security Boulevard, C5-14-03, Baltimore, Maryland 21244-1850.
| File Type | application/msword |
| File Title | According to the Paperwork Reduction Act of 1995, no persons are required to respond to a collection of information unless it |
| Author | CMS |
| Last Modified By | CMS |
| File Modified | 2003-10-15 |
| File Created | 2003-10-15 |