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Information Collection

Information Collection Requirements Contained In The Regulation For Home And Community-based Services Waiver For Individuals Age 65 Or Older

IC 114073 under ICR 199205-0938-002 · OMB 0938-0613.

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Information Collection (IC) Details

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INFORMATION COLLECTION REQUIREMENTS CONTAINED IN THE REGULATION FOR HOME AND COMMUNITY-BASED SERVICES WAIVER FOR INDIVIDUALS AGE 65 OR OLDER
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-16 No No


    

3 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 4 0 4 0 0 0
Annual IC Time Burden (Hours) 63,806 0 63,806 0 0 0
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.