MEDICAID - MMIS: CONDITION OF APPROVAL AND REAPPROVAL AND PROCEDURES FOR REDUCTION OF FFP, 42 CFR 433.112, 433.116, AND 433.117

ICR 198610-0938-003

OMB: 0938-0442

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0442 198610-0938-003
Historical Active 198507-0938-013
HHS/CMS
MEDICAID - MMIS: CONDITION OF APPROVAL AND REAPPROVAL AND PROCEDURES FOR REDUCTION OF FFP, 42 CFR 433.112, 433.116, AND 433.117
Extension without change of a currently approved collection   No
Regular
Approved without change 12/30/1986
Retrieve Notice of Action (NOA) 10/02/1986
  Inventory as of this Action Requested Previously Approved
12/31/1989 12/31/1989 10/31/1986
1 0 1
1 0 1
0 0 0

THE MEDICAID MANAGEMENT INFORMATION SYSTEM (MMIS) IS A STATE-OPERATED, FEDERALLY MANDATED COMPUTER SYSTEM USED FOR MEDICAID CLAIMS PROCESSING AND PROGRAM MANAGEMENT. STATES ARE ELIGIBLE FOR ENHANCED FEDERAL FUNDING IF THEY MEET DESIGNATED SYSTEMS REQUIREMENTS.

None
None


No

1
IC Title Form No. Form Name
MEDICAID - MMIS: CONDITION OF APPROVAL AND REAPPROVAL AND PROCEDURES FOR REDUCTION OF FFP, 42 CFR 433.112, 433.116, AND 433.117 HCFA-R-82

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 1 1 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.
10/02/1986


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