Information Collection

MACPro Home Page

IC 205308 under ICR 201301-0938-004 · OMB 0938-1188.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1188 can be found here:

Documents and Forms

Document Name Document Type
Form CMS-10434 MACPro Home Page Form
CMS-10434 MACPro Homepage MACPro Home Page.jpg Form
Homepage Transcript.pdf Webinar Transcript - MACPro Homepage IC Document

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	MACPro Home Page	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: New

Obligation to Respond: Required to Obtain or Retain Benefits

CFR Citation: 42 CFR 430.12

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form	CMS-10434	MACPro Homepage	MACPro Home Page.jpg		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	28	28
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
Webinar Transcript - MACPro Homepage	Homepage Transcript.pdf	01/08/2013

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