Reinstatement of Prior Burden Estimates for CMS-10184E

Payment Error Rate Measurement - State Medicaid and CHIP Eligibility

OMB: 0938-1012

IC ID: 193769

Information Collection (IC) Details

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Reinstatement of Prior Burden Estimates for CMS-10184E
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS 10184 CMS-10184 PERM Review Summary and Instructions final.pdf Yes Yes Fillable Fileable
Form and Instruction 101814E CMS-10184 10184 PERM Eligibility Review Findings new.pdf Yes No Fillable Fileable

Health Health Care Services

 

17 0
   
State, Local, and Tribal Governments
 
   0 %

  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 204 0 0 0 204 0
Annual IC Time Burden (Hours) 20,400 0 0 0 20,400 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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