OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Medicaid Program Budget Report (CMS-37), and Supporting Regs.

IC 7846 under ICR 201404-0938-003 · OMB 0938-0101.

Documents and Forms
Document Name
Document Type
Other-Index of CMS-37 Forms
Form
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Medicaid Program Budget Report (CMS-37), and Supporting Regs.
 
No Modified
 
Mandatory
 
42 CFR 430.30(a)(1) 42 CFR 430.30(b)

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Index of CMS-37 Forms Index.docx No   Printable Only
Form CMS-37 Medicaid Program Budget Report (Screen Shots) Screenshots of forms.docx Yes Yes Fillable Printable

Health Health Care Services

 

56 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 224 0 0 0 0 224
Annual IC Time Burden (Hours) 7,616 0 0 0 0 7,616
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk (CMS-37.10) CMS-37 - Crosswalk (rev 4-11-2014 by OSORA PRA).xlsx 04/15/2014
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.