Medicaid Program Budget Report

MEDICAID PROGRAM BUDGET REPORT

OMB: 0938-0101

IC ID: 112887

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MEDICAID PROGRAM BUDGET REPORT
 
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-37 No No


    

57 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 228 0 228 0 0 0
Annual IC Time Burden (Hours) 7,980 0 7,980 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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