(Cycle III) Application

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

OMB: 0938-1121

IC ID: 208090

Documents and Forms
Information Collection (IC) Details

View Information Collection (IC)

(Cycle III) Application
 
No Removed
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data CMS-10380 - Rate Review Grant Program Data Dictionary_0713.pdf No No Paper Only

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   0 %

  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 -56 0 0 56
Annual IC Time Burden (Hours) 0 0 -8,960 0 0 8,960
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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