NEGATIVE CASE ACTION REVIEW SCHEDULE/ACTION SUMMARY TABLES (MEDICAID ELIGIBILITY QUALITY CONTROL)

ICR 198708-0938-001

OMB: 0938-0300

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0300 198708-0938-001
Historical Active 198610-0938-006
HHS/CMS
NEGATIVE CASE ACTION REVIEW SCHEDULE/ACTION SUMMARY TABLES (MEDICAID ELIGIBILITY QUALITY CONTROL)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 08/07/1987
Retrieve Notice of Action (NOA) 08/05/1987
  Inventory as of this Action Requested Previously Approved
07/31/1990 07/31/1990
8,600 0 0
8,041 0 0
0 0 0

HCFA USES THE NCA REVIEW INFORMATION TO IDENTIFY ERROR RATES BY STATES, REGIONS, AND NATION. THE ERROR RATES ARE ANALYZED TO DETECT TRENDS AND CAUSES OF HIGH OR LOW ERROR RATES. RESULTS OF NCA REVIEWS ARE USED BY THE STATES TO PLAN CORRECTIVE ACTIO TO ASSURE ACCURATE DETERMINATIONS AND TIMELY AND ADEQUATE NOTICE OF DENIALS.

None
None


No

1
IC Title Form No. Form Name
NEGATIVE CASE ACTION REVIEW SCHEDULE/ACTION SUMMARY TABLES (MEDICAID ELIGIBILITY QUALITY CONTROL) HCFA 6401

  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 8,600 0 0 0 8,600 0
Annual Time Burden (Hours) 8,041 0 0 0 8,041 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.
08/05/1987


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