Information Collection Request

Medicaid Program; Eligibility Changes under the Affordable Care Act of 2010

ICR 201203-0938-012 · OMB 0938-1147 · Historical Active

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10410-Supporting Statement part A rev 07-23-2012.doc Supporting Statement A Uploaded 2012-07-24 Available

ICR Details

Reginfo record details
table that charts list comparision
  Inventory as of this Action Requested Previously Approved
07/31/2015 36 Months From Approved
76,500,149 0 0
21,278,142 0 0
0 0 0





table that charts list of burden
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 76,500,149 0 76,500,202 -53 0 0
Annual Time Burden (Hours) 21,278,142 0 21,279,732 -1,590 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No