Information Collection

1932 State Plan Amendment Template, State Plan Requirements, and Supporting Regulations in 42 CFR 438.50

IC 8781 under ICR 200801-0938-008 · OMB 0938-0933.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0933 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10120 1932 State Plan Amendment Template, State Plan Requirements, and Supporting Regulations in 42 CFR 438.50 Form and Instruction
CMS-10120 1932 State Plan Amendment Template CMS-10120 SPA-051004.doc Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	1932 State Plan Amendment Template, State Plan Requirements, and Supporting Regulations in 42 CFR 438.50	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

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 and Instruction	CMS-10120	1932 State Plan Amendment Template	CMS-10120 SPA-051004.doc		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 10	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Previously Approved
Annual Number of Responses for this IC	10	10
Annual IC Time Burden (Hours)	100	100
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.