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Information Collection

Program Inspection On Medicaid Estate Recovery

IC 116728 under ICR 198608-0990-002 · OMB 0990-0167.

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Information Collection (IC) Details

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PROGRAM INSPECTION ON MEDICAID ESTATE RECOVERY
 
No Migrated
 
Voluntary
 

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


    

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 55 0 55 0 0 0
Annual IC Time Burden (Hours) 440 0 440 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
 
 
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.