Rate Review Program Grant - Cycle IV 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: 212860

Information Collection (IC) Details

View Information Collection (IC)

Rate Review Program Grant - Cycle IV Quarterly Report
 
No Unchanged
 
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 Program Quarterly Report CMS-10380_Grant_Cycle_IV_ Quarterly_Report_Template.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

42 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 168 0 0 0 0 168
Annual IC Time Burden (Hours) 4,368 0 0 0 0 4,368
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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