State Children's Health Insurance Program (SCHIP) Report on Payables and Receivables

State Children's Health Insurance Program (SCHIP) Report on Payables and Receivables

OMB: 0938-0988

IC ID: 43677

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Information Collection (IC) Details

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State Children's Health Insurance Program (SCHIP) Report on Payables and Receivables
 
No Migrated
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10180 No No


    

56 0
   
State, Local, and Tribal Governments
 
   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 56 0 0 0 0 56
Annual IC Time Burden (Hours) 336 0 0 0 0 336
Annual IC Cost Burden (Dollars) 0 0 0 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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