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Information Collection

Medicaid - Information Collection Requirements In Alternative Sanctions For Long Term Care Facilities, 42 Cfr 442.118(b)

IC 113860 under ICR 198908-0938-012 · OMB 0938-0488.

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Information Collection (IC) Details

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MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN ALTERNATIVE SANCTIONS FOR LONG TERM CARE FACILITIES, 42 CFR 442.118(B)
 
No Migrated
 
Required to Obtain or Retain Benefits
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-93 No No


    

52 0
   
State, Local, and Tribal Governments
 
   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 52 0 0 -1 0 53
Annual IC Time Burden (Hours) 686 0 0 136 0 550
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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