Medicaid Management Information System (MMIS)

ICR 199909-0938-011

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
37884 Migrated
ICR Details
0938-0247 199909-0938-011
Historical Active 199805-0938-009
HHS/CMS
Medicaid Management Information System (MMIS)
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 09/30/1999
Retrieve Notice of Action (NOA) 09/30/1999
  Inventory as of this Action Requested Previously Approved
05/31/2000 05/31/2000 05/31/2000
50 0 50
746,385 0 746,385
8,867,000 0 64,830,000

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 50 0 0 0 0
Annual Time Burden (Hours) 746,385 746,385 0 0 0 0
Annual Cost Burden (Dollars) 8,867,000 64,830,000 0 -55,963,000 0 0
No
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.
09/30/1999


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