(Cycle III) Quarterly Report

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

OMB: 0938-1121

IC ID: 208091

Information Collection (IC) Details

View Information Collection (IC)

(Cycle III) Quarterly Report
 
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
Form and Instruction CMS-10380 Cycle III - Quarterly Report Template Grant_Cycle_III_Quarterly_Report_Template-a.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

56 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 -224 0 0 224
Annual IC Time Burden (Hours) 0 0 -5,824 0 0 5,824
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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