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"medicaid Eligibiltiy Quality Control", Regional Office Collateral Contacts
"MEDICAID ELIGIBILTIY QUALITY CONTROL", REGIONAL OFFICE COLLATERAL CONTACTS
OMB: 0938-0203
IC ID: 113094
OMB.report
HHS/CMS
OMB 0938-0203
ICR 198903-0938-007
IC 113094
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0203 can be found here:
1992-03-23 - Extension without change of a currently approved collection
1989-05-24 - No material or nonsubstantive change to a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
"MEDICAID ELIGIBILTIY QUALITY CONTROL", REGIONAL OFFICE COLLATERAL CONTACTS
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Voluntary
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HCFA-9007
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
2,903
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 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
2,903
0
-150
0
0
3,053
Annual IC Time Burden (Hours)
726
0
-37
0
0
763
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.