Rate Review Grant - Cycle IV 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: 212861

Information Collection (IC) Details

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Rate Review Grant - Cycle IV Annual Report
 
No New
 
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 Rate Review Grant cycle IV - Annual Report CMS-10380_Grant_Cycle_IV_Annual_Report_Template.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

42 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 42 0 42 0 0 0
Annual IC Time Burden (Hours) 1,680 0 1,680 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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