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"medicaid Eligibility Quality Control," Regional Office Collateral Contacts

IC 113095 under ICR 199203-0938-009 · OMB 0938-0203.

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"MEDICAID ELIGIBILITY QUALITY CONTROL," REGIONAL OFFICE COLLATERAL CONTACTS
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-9007 No No


    

2,903 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 2,903 0 0 0 0 2,903
Annual IC Time Burden (Hours) 726 0 0 0 0 726
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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