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Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310
OMB: 0938-0449
IC ID: 8072
OMB.report
HHS/CMS
OMB 0938-0449
ICR 200507-0938-002
IC 8072
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0449 can be found here:
2024-07-31 - No material or nonsubstantive change to a currently approved collection
2024-03-19 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Required to Obtain or Retain Benefits
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
CMS-8003
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
50
Number of Respondents for Small Entity:
0
Affected Public:
State, Local, and Tribal Governments
Percentage of Respondents Reporting Electronically:
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
132
0
0
0
0
132
Annual IC Time Burden (Hours)
7,930
0
0
0
0
7,930
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.