Medicaid Posteligibility Preprint

Medicaid Posteligibility Preprint

OMB: 0938-0673

IC ID: 8253

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Information Collection (IC) Details

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Medicaid Posteligibility Preprint
 
No Migrated
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form 0001 No No


    

56 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 896 0 0 0 0 896
Annual IC Time Burden (Hours) 529 0 0 0 0 529
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.

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