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Supplemental Appropriations Act of 2008 Mandated Report to Congress (CMS-10281)
Supplemental Appropriations Act of 1008 Mandated Report to Congress (CMS-10281)
OMB: 0938-1061
IC ID: 188980
OMB.report
HHS/CMS
OMB 0938-1061
ICR 200904-0938-015
IC 188980
( )
Documents and Forms
Document Name
Document Type
Form CMS-10281
Supplemental Appropriations Act of 2008 Mandated Report to Congress (CMS-10281)
Form and Instruction
CMS-10281 Mandated Report to Congress Independent Study and Report
CMS-10281 Lewin Draft Interview Questions for Reg Research Study 4-9-09.DOC
Form and Instruction
CMS-10281 Emergency PRA Justification.DOC
CMS-10281 Emergency PRA Justification
IC Document
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Supplemental Appropriations Act of 2008 Mandated Report to Congress (CMS-10281)
Agency IC Tracking Number:
Is this a Common Form?
IC Status:
New
Obligation to Respond:
Mandatory
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-10281
Mandated Report to Congress Independent Study and Report
CMS-10281 Lewin Draft Interview Questions for Reg Research Study 4-9-09.DOC
No
No
Paper Only
Federal Enterprise Architecture Business Reference Module
Line of Business:
Health
Subfunction:
Health Care Services
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
51
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
51
51
0
0
0
0
Annual IC Time Burden (Hours)
3,060
3,060
0
0
0
0
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
CMS-10281 Emergency PRA Justification
CMS-10281 Emergency PRA Justification.DOC
04/10/2009
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.