Medicaid Management Information System (MMIS)

Medicaid Management Information System (MMIS)

OMB: 0938-0247

IC ID: 7905

Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details

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Medicaid Management Information System (MMIS)
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form HCFA-R-4 Yes Yes


    

50 0
   
State, Local, and Tribal Governments
 
   90 %

  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 50 0 2 0 0 48
Annual IC Time Burden (Hours) 2,298,250 0 91,930 0 0 2,206,320
Annual IC Cost Burden (Dollars) 64,830,000 0 64,830,000 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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