DATA COLLECTION, 1915(B) WAIVERS, REGULATION FREEDOM OF CHOICE: WAIVERS AND EXCEPTIONS TO STATE PLAN REQUIREMENTS (BPP 181)

ICR 198305-0938-002

OMB: 0938-0295

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0295 198305-0938-002
Historical Active
HHS/CMS
DATA COLLECTION, 1915(B) WAIVERS, REGULATION FREEDOM OF CHOICE: WAIVERS AND EXCEPTIONS TO STATE PLAN REQUIREMENTS (BPP 181)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 06/02/1983
Retrieve Notice of Action (NOA) 05/25/1983
  Inventory as of this Action Requested Previously Approved
05/31/1985 05/31/1985
50 0 0
8,600 0 0
0 0 0

SECTION 1915(E)(1) REQUIRES THE SECRETARY TO MONITOR THE IMPLEMENTATIO OF WAIVERS GRANTED UNDER SECTION 1915(B) TO ENSURE THAT REQUIREMENTS F THE WAIVER ARE BEING MET. ALSO, STATES MAY REQUEST EXTENSION OF WAIVERS BEYOND THE INITIAL 2-YEAR APPROVAL PERIOD. THE SECRETARY MUST EVALUATE A PROJECT BEFORE DETERMINING WHETHER AN EXTENSION IS APPROPRIATE.

None
None


No

1
IC Title Form No. Form Name
DATA COLLECTION, 1915(B) WAIVERS, REGULATION FREEDOM OF CHOICE: WAIVERS AND EXCEPTIONS TO STATE PLAN REQUIREMENTS (BPP 181) HCFA 8002

  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 50 0 0 50 0 0
Annual Time Burden (Hours) 8,600 0 0 8,600 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
05/25/1983


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