Medicaid Contractors Information Collections - Federal Re-review Process (medicaid Eligibility Quality Control)

MEDICAID CONTRACTORS INFORMATION COLLECTIONS - FEDERAL RE-REVIEW PROCESS (MEDICAID ELIGIBILITY QUALITY CONTROL)

OMB: 0938-0210

IC ID: 113117

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MEDICAID CONTRACTORS INFORMATION COLLECTIONS - FEDERAL RE-REVIEW PROCESS (MEDICAID ELIGIBILITY QUALITY CONTROL)
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 9010 No No


    

55 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 9,677 0 -1,763 0 0 11,440
Annual IC Time Burden (Hours) 2,419 0 -441 0 0 2,860
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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