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.
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.
Statute at
Large: 19
Stat. 1915 Name of Statute: null
Statute at Large: 21
Stat. 2101 Name of Statute: null
Statute at Large: 21
Stat. 1115 Name of Statute: null
Statute at Large: 19
Stat. 1901 Name of Statute: null
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.
Form CMS-10398 (#38) Bundle: Performance Indicators (# 19), Payment Suspension (# 30), and 1115 Demo (# 38)
0938-1148 (CMS-10398) Change Worksheet Request.doc
Bundle: Performance Indicators (# 19), Payment Suspension (# 30), and 1115 Demo (# 38)