Information Collection

Survey Of Medicaid Reimbursement Policies

IC 166175 under ICR 198001-0938-003 · OMB 0938-0134.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0134 can be found here:

Documents and Forms

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Information Collection (IC) Details

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IC Title:	SURVEY OF MEDICAID REIMBURSEMENT POLICIES	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Available Electronically?	Can Be Submitted Electronically?
Form	HCFA-167T,	No	No
Form	HCFA-L-	No	No
Form	167T	No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 50	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Previously Approved
Annual Number of Responses for this IC	50	50
Annual IC Time Burden (Hours)	200	200
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded

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