Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167

ICR 200707-0938-007

OMB: 0938-0193

Federal Form Document

ICR Details
0938-0193 200707-0938-007
Historical Active 200405-0938-004
HHS/CMS
Transmittal and Notice of Approval of State Plan Material and Supporting Regulations in 42 CFR 430.10-430.20 and 440.167
Extension without change of a currently approved collection   No
Regular
Approved without change 10/12/2007
Retrieve Notice of Action (NOA) 07/25/2007
  Inventory as of this Action Requested Previously Approved
10/31/2010 36 Months From Approved 10/31/2007
56 0 56
560 0 560
840 0 0

Form CMS-179 is used by State agencies to transmit State plan material to CMS for approval prior to amending their State plans.

US Code: 42 USC 440 Name of Law: 167
   US Code: 42 USC 430.10 Name of Law: null
   US Code: 42 USC 430.20 Name of Law: null
  
None

Not associated with rulemaking

  72 FR 13793 03/23/2007
72 FR 40299 07/24/2007
No

  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 56 56 0 0 0 0
Annual Time Burden (Hours) 560 560 0 0 0 0
Annual Cost Burden (Dollars) 840 0 0 0 840 0
No
No

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Melissa Musotto 4107866962

  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.
07/25/2007


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