Matching Gants to States for the Operation of High Risk Pools and Supporting Regulations at 42 CFR 148.316, 148.318, and 148.320

Matching Gants to States for the Operation of High Risk Pools and Supporting Regulations at 42 CFR 148.316, 148.318, and 148.320 *CMS-10078)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0887 can be found here:

Documents and Forms

Document Name Document Type
CMS HRP Law Overview.doc CMS HRP Law Overview IC Document
HRP LAW THOMAS.doc HRP LAW THOMAS IC Document

Information Collection (IC) Details

IC Title:	Matching Gants to States for the Operation of High Risk Pools and Supporting Regulations at 42 CFR 148.316, 148.318, and 148.320	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 148.320 42 CFR 148.316 42 CFR 148.318

Information Collection Instruments:

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

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 31	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 0 %

	Approved	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	31	-2	33
Annual IC Time Burden (Hours)	1,240	-80	1,320
Annual IC Cost Burden (Dollars)	0	0	0

Documents for IC

Title	Document	Date Uploaded
CMS HRP Law Overview	CMS HRP Law Overview.doc	12/01/2006
HRP LAW THOMAS	HRP LAW THOMAS.doc	12/01/2006

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