GenIC #48 - Section 223 Demonstration Programs to Improve Community Mental Health Services

Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Document Name Document Type
BHCMeasureSpecificationsVol1(508).pdf Instruction
BHCQMAppendicesVol2(508).pdf Instruction
CMS-10398 (#48) Quality Measurement Data Reporting Templates Demonstration223Templates(508) OMB and CMS #.xlsx Form and Instruction
# 48 - Section 223 Demonstration Programs to Improve Community Mental Health [rev 06-02-2016 by OSORA PRA] -- CLEAN.docx GenIC #48 - Supporting Statement (2) IC Document

Information Collection (IC) Details

IC Title:	GenIC #48 - Section 223 Demonstration Programs to Improve Community Mental Health Services	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Instruction			BHCMeasureSpecificationsVol1(508).pdf	No		Fillable Fileable
Instruction			BHCQMAppendicesVol2(508).pdf	No		Fillable Fileable
Form and Instruction	CMS-10398 (#48)	Quality Measurement Data Reporting Templates	Demonstration223Templates(508) OMB and CMS #.xlsx	Yes	Yes	Fillable Printable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 24	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	528	528
Annual IC Time Burden (Hours)	22,192	22,192
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
GenIC #48 - Supporting Statement (2)	# 48 - Section 223 Demonstration Programs to Improve Community Mental Health [rev 06-02-2016 by OSORA PRA] -- CLEAN.docx	06/09/2016

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