34 Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children’s Health Insurance Program
Advance Planning Document (APD) Template for Implementation of the National Correct Coding Initiative (NCCI) in a State's Medicaid Management Information System (MMIS)
Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions
No material or nonsubstantive change to a currently approved collection
No
Regular
Approved without change
11/28/2011
11/22/2011
Approved consistent with the understanding that individual collections (GenICs) will be submitted for review and approval prior to initiating those collections. Approval for this generic ICR should not be construed as approval for this particular IC.
table that charts list comparision
Inventory as of this Action
Requested
Previously Approved
10/31/2014
10/31/2014
10/31/2014
3,360
0
1,120
86,240
0
28,747
0
0
0
The Center for Medicaid, CHIP, and Survey & Certification in CMS works in partnership with States to implement Medicaid and the Children's Health Insurance Program (CHIP), and the Social Security Act requires written plans between CMS and the State to implement these programs. The Affordable Care Act enacted comprehensive reform that requires modification of existing programs. In addition to the Medicaid and CHIP State plans, CMS also continues to work with States through other methods to further the goals of health reform, including program waivers and demonstrations and other technical assistance initiatives and reporting. This collection will provide streamlined submission forms for States to implement health reform initiatives in Medicaid and CHIP state plans, demonstrations, and waivers, including legislative requirements enacted by the Affordable Care Act.
The burden that was requested and subsequently approved set out the annual burden when it should have set out the total 3-year burden. Consequently, we request that the number of Responses is corrected to read "3,360" and the Hour burden is corrected to read "86,240." These changes will not affect our burden estimates since those estimates were set out in the ICR's Supporting Statement.
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control number;
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
Bundle: Performance Indicators (# 19), Payment Suspension (# 30), and 1115 Demo (# 38)