Claims Data and Other Record Reports Preparation (42 CFR 456.709)

Medicaid Drug Utilization Review (DUR) Annual Report (CMS-R-153 and CMS-R-153a, b, and c)

OMB: 0938-0659

IC ID: 196901

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Claims Data and Other Record Reports Preparation (42 CFR 456.709)
 
No New
 
Mandatory
 
42 CFR 456.709

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

Health Health Care Services

 

51 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 204 0 204 0 0 0
Annual IC Time Burden (Hours) 408 0 408 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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