OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Reporting Templates

IC 224908 under ICR 201612-0938-018 · OMB 0938-1320.

Documents and Forms
Document Name
Document Type
Form and Instruction
Form and Instruction
Form and Instruction
Form and Instruction
Information Collection (IC) Details

View Information Collection (IC)

Reporting Templates
 
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-10605 Annual Report Template CMS-10605 - The Enforcement and Consumer Protections Cycle I Annual Report Template ....pdf Yes No Fillable Fileable
Form and Instruction CMS-10605 Quarterly Report Template CMS-10605 - The Enforcement and Consumer Protections Cycle I Quarterly Report Templa....pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10605 Final Report CMS-10605 - The Enforcement and Consumer Protections Cycle I Final Report Template ....pdf Yes Yes Fillable Fileable

Health Health Care Services

 

23 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 115 115 0 0 0 0
Annual IC Time Burden (Hours) 2,898 2,898 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.