Action Transmittal To Medicaid State Agencies Implementing The Decision Of The U.s. District Court, District Of Northern California, In The Case Of Lynch V. Rank

ACTION TRANSMITTAL TO MEDICAID STATE AGENCIES IMPLEMENTING THE DECISION OF THE U.S. DISTRICT COURT, DISTRICT OF NORTHERN CALIFORNIA, IN THE CASE OF LYNCH V. RANK

OMB: 0938-0377

IC ID: 166275

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ACTION TRANSMITTAL TO MEDICAID STATE AGENCIES IMPLEMENTING THE DECISION OF THE U.S. DISTRICT COURT, DISTRICT OF NORTHERN CALIFORNIA, IN THE CASE OF LYNCH V. RANK
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-61 No No


    

45 0
   
Individuals or Households
 
   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 45 0 0 0 0 45
Annual IC Time Burden (Hours) 100,000 0 -266,345 0 0 366,345
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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