(Cycle II) Annual Report

Reporting Requirements for Grants to States for Rate Review Cycle IV and Effective Rate Review Program (CMS-10380)

OMB: 0938-1121

IC ID: 196346

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

(Cycle II) Annual Report
 
No Removed
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10380 Cycle II FOA Cycle II Rate Review Grants FOA (2-24-11@1130am).docx Yes Yes Fillable Fileable

Health Health Care Services

 

34 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 0 0 -34 0 0 34
Annual IC Time Burden (Hours) 0 0 -1,360 0 0 1,360
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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