Notice of Appeals Actions

Program Integrity and Additional State Information Collections

OMB: 0938-1213

IC ID: 208527

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Information Collection (IC) Details

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Notice of Appeals Actions
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 155.505, 155.510, 155.520 45 CFR 155.555, 155.740 45 CFR 155.530, 155.535, 155.540 45 CFR 155.545, 155.550

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

Health Health Care Services

 

18 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 18 18 0 0 0 0
Annual IC Time Burden (Hours) 1,890 1,890 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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

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