State Discussion Protocol & Guide and Discussion Protocol for Stakeholder Focus Group

Community First Choice Option Evaluation

OMB: 0938-1238

IC ID: 211012

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State Discussion Protocol & Guide and Discussion Protocol for Stakeholder Focus Group
 
No New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10462 Community First Choice State Discussion Protocol State Official - CFC State Discussion Protocol [rev 3-27-2014 by OSORA PRA].docx Yes Yes Fillable Printable
Form CMS-10462 Non-CFC State Discussion Guide State Official - Non-CFC State Discussion Protocol [rev 3-27-2014 by OSORA PRA].docx Yes Yes Fillable Printable
Form CMS-10462 Discussion Protocol for Stakeholder Focus Group CFC Stakeholder Discussion Protocol [rev 3-27-2014 by OSORA PRA].docx Yes Yes Fillable Printable

Health Health Care Services

 

28 0
   
State, Local, and Tribal Governments
 
   50 %

  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 28 28 0 0 0 0
Annual IC Time Burden (Hours) 105 105 0 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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