THIS COLLECTION
IS APPROVED AS FOLLOWS: 1. THE HARD COPY VERSION OF THE HCFA 2082
IS APPROVED FOR USE THRU APRIL 1985 BEGINNING WITH THE FY 1984
REPORTING PERIOD. THIS EXPIRA TION DATE MUST APPEAR ON THE PRINTED
FORMS. HCFA SHALL ASSESS THIS TO DETERMINE THE CONTINUED UTILITY OF
COLLECTING THIS OR OTHER DATA FOR PROGRAM MANAGEMENT OR POLICY
MAKING PURPOSES. 2. THE MMIS TAPE SAMPLE VERSION OF THE HCFA 2082
IS APPROVED FOR USE THRU FEBRUARY 1987 BEGINNING WITH THE FY 1984
REPORTING PERIOD PROVIDING THE FOLLOWING CONDITIONS ARE MET: A. THE
FINAL VERSION OF THE MMIS TAPE SAMPLE WITH A COMPILATION OF THE
STATE COMMENTS IS SUBMITTED TO OMB FOR APPROVAL BY APRIL 9. B. THE
FINAL VERSION OF THE MMIS TAPE SAMPLE AND INSTRUCTIONS ARE SENT TO
MEDICAID STATE AGENCIES NO LATER THAN APRIL 16, 1984. C. DRAFTS OF
THE FORMAL ACTION TRANSMITTAL AND MANUAL REVISIIONS ARE SUBMITTED
TO OMB FOR APPROVAL BY JUNE 1, 1984, AND ARE MAILED TO STATE
MEDICAID AGENCIES BY JUNE 15, 1984. 3. THE FY 1983 VERSION OF THE
HCFA 2082 IS APPROVED FOR USE BY THOSE STATE MEDICAID AGENCIES
WHICH ELECT TO REPORT VIA THE MMIS TAPE SAMPLE BUT ARE UNABLE TO DO
SO FOR THE FY 1984 REPORTING PERIOD. 4. HCFA SHALL SUBMIT NEW
BURDEN CALCULATIONS TO OMB BY JUNE 1, 1984.
Inventory as of this Action
Requested
Previously Approved
02/28/1987
02/28/1987
55
0
0
21,039
0
0
0
0
0
THIS DATA IS NEEDED TO MONITOR PAST
AND PROJECTED FUTURE TRENDS IN THE MEDICAID PROGRAM. IT IS USED AS
THE BASIS OF THE ANALYSIS AND COST SAVING ESTIMATES FOR COST
SHARING LEGISLATION INITIATIVES TO CONGRESS. ANOTHER IMPORTANT USE
CENTERS ON HCFA'S/HHS ACTUARIAL FORECAST. THE RESPONDENTS ARE
MEDICAID STATE AGENCIES.
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.