FINAL REGULATIONS ON MEDICAL SUPPORT ENFORCEMENT

ICR 198703-0970-073

OMB: 0970-0070

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
115919
Migrated
ICR Details
0970-0070 198703-0970-073
Historical Active
HHS/ACF
FINAL REGULATIONS ON MEDICAL SUPPORT ENFORCEMENT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 03/24/1987
Retrieve Notice of Action (NOA) 03/24/1987
  Inventory as of this Action Requested Previously Approved
01/31/1989 01/31/1989
54 0 0
20,235 0 0
0 0 0

THE INFORMATION COLLECTED AS A RESULT OF THESE REGULATIONS IS NEEDED T DETERMINE IF ABSENT PARENTS HAVE HEALTH INSURANCE COVERAGE WHICH INCLUDES MEDICAID RECIPIENTS. IT WILL BE USED TO ESTABLISH THE INSURAN CARRIER'S LIABILITY FOR MEDICAL EXPENSES WHICH HAVE BEEN INCURRED BY MEDICAID RECIPIENT. AFFECTED PUBLIC WILL CONSIST OF STATE IV-D AGENCIE

None
None


No

1
IC Title Form No. Form Name
FINAL REGULATIONS ON MEDICAL SUPPORT ENFORCEMENT

  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 0 0 0 54 0
Annual Time Burden (Hours) 20,235 0 0 0 20,235 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.
03/24/1987


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