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 (CMS-8003)

OMB: 0938-0449

IC ID: 8072

Information Collection (IC) Details

View Information Collection (IC)

Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180, 441.300-.310
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 440.180 42 CFR 441.300-310

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-8003 Application for 1915(c) Home and Community Based Waiver CMS-8003 Application for 1915(c) HCBS Waiver.mht Yes Yes Fillable Fileable

Health Health Care Services

 

49 0
   
State, Local, and Tribal Governments
 
   100 %

  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 71 0 -65 0 0 136
Annual IC Time Burden (Hours) 9,059 0 1,049 0 0 8,010
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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.

© 2024 OMB.report | Privacy Policy