THIS COLLECTION
REQUEST IS APPROVED WITH THE INCLUSION OF SECTIONS 441.56[a][1] AND
441.60[c] WHICH ALSO INCLUDE INFORMATION REPORTING
REQUIREMENTS.
Inventory as of this Action
Requested
Previously Approved
07/31/1987
07/31/1987
54
0
0
14,450
0
0
0
0
0
THESE INFORMATION COLLECTIONS WILL
REQUIRE MEDICAID STATE AGENCIES TO INFORM EPSDT ELIGIBLES OF
PROGRAM SERVICES, PROVIDE PERIODIC PATIENT CARE SCREENING, AND TO
PROVIDE SCHEDULING AND TRANSPORTATION ASSISTANC
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.