Annual Report For Home And Community Based Services Waiver (hcfa-371) Annual Expenditure Report For Home And Community Based Services Waiver (hcfa-372)

ANNUAL REPORT FOR HOME AND COMMUNITY BASED SERVICES WAIVER (HCFA-371) ANNUAL EXPENDITURE REPORT FOR HOME AND COMMUNITY BASED SERVICES WAIVER (HCFA-372)

OMB: 0938-0272

IC ID: 113315

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ANNUAL REPORT FOR HOME AND COMMUNITY BASED SERVICES WAIVER (HCFA-371) ANNUAL EXPENDITURE REPORT FOR HOME AND COMMUNITY BASED SERVICES WAIVER (HCFA-372)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA 371 No No
Form HCFA 372 No No


    

40 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 40 0 0 40 0 0
Annual IC Time Burden (Hours) 12,160 0 0 12,160 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.

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