MEDICAID MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) STATISTICAL TABLES

ICR 198605-0938-017

OMB: 0938-0310

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0310 198605-0938-017
Historical Active 198505-0938-008
HHS/CMS
MEDICAID MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) STATISTICAL TABLES
Revision of a currently approved collection   No
Regular
Approved without change 07/15/1986
Retrieve Notice of Action (NOA) 05/21/1986
  Inventory as of this Action Requested Previously Approved
07/31/1989 07/31/1989 07/31/1986
54 0 54
390 0 390
0 0 0

THE MEQC STATISTICAL TABLES ARE A USEFUL DEVICE IN CARRYING OUT THE PRIMARY OBJECTIVE OF THE MEQC SYSTEM-REDUCING DOLLAR LOSSES IN THE ADMINISTRATION OF MEDICAID. THEY PROVIDE INFORMATION CONCERNING THE MAJOR CAUSES OF ERROR, SIGNIFYING WHERE STATES SHOULD DIRECT THEIR CORRECTIVE ACTION EFFORTS.

None
None


No

1
IC Title Form No. Form Name
MEDICAID MEDICAID ELIGIBILITY QUALITY CONTROL (MEQC) STATISTICAL TABLES HCFA-302, THRU 309

  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 54 54 0 0 0 0
Annual Time Burden (Hours) 390 390 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
05/21/1986


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