This information
collection is approved through 3-1999 under the following
conditions: As indicated by HCFA in this submission, the Agency
will submit the revised HCFA 416 within the next year. As agreed to
by HCFA, the agency will 1) incorporate HEDIS measures in the
design of the report; 2)coordinate the data in the form to support
the inclusion of EPSDT outcome measures in the GPRA Strategic Plan
and Annual Performance Plan; 3)incorporate the comments from the
Dental community; 4) modify the format of the 416 to reflect state
effectiveness in achieving healthy outcomes for children, to the
extent allowed by law; and 5) reduce the reporting burden on
States. If the HCFA information collection package HCFA submits
within the next year does not include these terms, OMB will return
it as improperly submitted. OMB also notes that this collection has
been in violation of the Paperwork Reduction Act for over a year.
HCFA shall submit the next package before the OMB clearance
expires.
Inventory as of this Action
Requested
Previously Approved
03/31/1999
03/31/1999
09/30/1998
56
0
56
1,568
0
1,568
15,000,000
0
15,000,000
States are required to submit an
annual report on the provision of EPSDT services to HCFA pursuant
to section 1902(a)(43) of the Social Security Act. These reports
provide HCFA with data necessary to assess the effectiveness of
State EPSDT programs, to develop trend patterns and projections
nationally, to determine a State's results in achieving its
participation goal and to respond to inquiries. Respondents are
State Medicaid agencies.
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.