Revisions To The Medicaid State Plan Preprint Standards For Provisions Of Organ Transplants In State Programs

REVISIONS TO THE MEDICAID STATE PLAN PREPRINT STANDARDS FOR PROVISIONS OF ORGAN TRANSPLANTS IN STATE PROGRAMS

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0193 can be found here:

Documents and Forms

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Information Collection (IC) Details

IC Title:	REVISIONS TO THE MEDICAID STATE PLAN PREPRINT STANDARDS FOR PROVISIONS OF ORGAN TRANSPLANTS IN STATE PROGRAMS	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Migrated

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	HCFA-179				No	No

Line of Business:

Subfunction:

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 54	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	54	0	54
Annual IC Time Burden (Hours)	4,387	720	3,667
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

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