Medicaid Management Information System (MMIS)

ICR 199703-0938-007

OMB: 0938-0247

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
7905 Migrated
ICR Details
0938-0247 199703-0938-007
Historical Active 199402-0938-001
HHS/CMS
Medicaid Management Information System (MMIS)
Revision of a currently approved collection   No
Regular
Approved without change 05/21/1997
Retrieve Notice of Action (NOA) 03/28/1997
OMB approves this submission contingent upon receiving HCFA's plan for changes in electronic collection noted in its ICB, which HCFA expects to result in a 66% burden reduction from FY95 and FY96 levels.
  Inventory as of this Action Requested Previously Approved
05/31/2000 05/31/2000 05/31/1997
50 0 48
2,298,250 0 2,206,320
64,830,000 0 0

The Medicaid Management Information System (MMIS) is a State-operated, federally mandated computer system used for automated Medicaid claims processing and information retrieval for program management. Data elements represent the federally imposed recordkeeping requirements of MMIS.

None
None


No

1
IC Title Form No. Form Name
Medicaid Management Information System (MMIS) HCFA-R-4

  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 50 48 0 2 0 0
Annual Time Burden (Hours) 2,298,250 2,206,320 0 91,930 0 0
Annual Cost Burden (Dollars) 64,830,000 0 0 64,830,000 0 0
Yes
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  No

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.
03/28/1997


© 2024 OMB.report | Privacy Policy