This information
collection is approved through 7-95 under the following condition:
HCFA will add a burden estimate statement to the instructions
accompanying the 416. Upon the next submission, HCFA will also
provide information on the success of the States in collecting
screening information on children in managed or continuing
care.
Inventory as of this Action
Requested
Previously Approved
09/30/1995
09/30/1995
06/30/1993
56
0
56
1,568
0
1,176
0
0
0
CONGRESS AND HCFA ARE INTERESTED IN
THE EPSDT PROGRAM'S EFFECTIVENESS IMPROVING THE HEALTH OF
MEDICAID-ELIGIBLE CHILDREN. THE HCFA-416, SUBMITTED BY ALL 56
MEDICAID JURISDICTIONS, SUPPLIES DATA FOR PROMPT, ACCURATE
MONITORING OF EPSDT ACTIVITIES.
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.