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Evaluation Of Medicaid Extension Demonstration

IC 114087 under ICR 199301-0938-001 · OMB 0938-0622.

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EVALUATION OF MEDICAID EXTENSION DEMONSTRATION
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-151 No No


    

10,400 0
   
Individuals or Households
 
   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 10,400 0 10,400 0 0 0
Annual IC Time Burden (Hours) 773 0 773 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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