Information Collection Request

Rate Increase Disclosure and Review Reporting Requirements (CMS-10379)

ICR 201403-0938-012 · OMB 0938-1141 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
Comment and Response for CMS.docx Supplementary Document Uploaded 2014-04-04 Repair queued
CMS-10379 Rate Review - Part A Supporting Statement _RRJ_30d_3-18-14.pdf Supporting Statement A Uploaded 2014-03-24 Available

IC Document Collections

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2017 36 Months From Approved
359 0 0
1,885 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 359 0 0 -3,542 0 3,901
Annual Time Burden (Hours) 1,885 0 0 -89,334 0 91,219
Annual Cost Burden (Dollars) 0 0 0 0 0 0


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  No