Statistical Report on Medial Care: Eligibles, Recipients, Payments & Service.

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
113486	Statistical Report on Medial Care: Eligibles, Recipients, Payments & Service.	Form	Migrated

ICR Details

OMB Control No: 0938-0345	ICR Reference No: 199506-0938-001
Status: Historical Active	Previous ICR Reference No: 199404-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Statistical Report on Medial Care: Eligibles, Recipients, Payments & Service.
Type of Information Collection: Extension without change of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 09/21/1995
	Date Received in OIRA: 06/29/1995
Terms of Clearance: This information collection is approved through 10-96 under the following condition: HCFA will make any necessary changes which may result from anticipated Medicaid reform. In addition, HCFA will 1) provide a status report on the number of States participating in the MSIS project; 2)revise the categories of coverage groups to reflect all Medicaid legislation in the last five years, and 3) provide a detailed summary of HCFA's actions to respond to GAO criticism that "HCFA has done little to ensure the data's accuracy and completeness." If HCFA is not in a position to make these changes accordingly, the Agency must meet with OMB before the package is submitted to discuss these issues.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/1995	10/31/1995	09/30/1995
Responses	216	0	0
Time Burden (Hours)	21,937	0	21,905
Cost Burden (Dollars)	0	0	0

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Abstract: The data reported in the HCFA-2082 are the basis of actuarial forecasts for Medicaid services utilization and cost; of analyses and cost savings estimates required for legislative initiatives relating to Medicaid and for responding to requests for information from HCFA components, the Department, the press and the Congress.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
Statistical Report on Medial Care: Eligibles, Recipients, Payments & Service.	2082

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ICR Summary of Burden

table that charts list of burden

	Total Approved	Previously Approved	Change Due to New Statute	Change Due to Agency Discretion	Change Due to Adjustment in Estimate	Change Due to Potential Violation of the PRA
Annual Number of Responses	216	0	0	216	0	0
Annual Time Burden (Hours)	21,937	21,905	0	32	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 06/29/1995

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