The information collected will be used
to ensure that the survey instruments can be tested, revised, and
finalized in enough time to allow: Indiana and public comment,
submission and OMB approval of the main study package, survey data
collection and analysis, and CMS deliberation regarding the waiver
prior to its December 1, 2016 expiration date.
See attached.
US Code:
42
USC 1315 Name of Law: Social Security Act
On behalf of this Federal agency, I certify that
the collection of information encompassed by this request complies
with 5 CFR 1320.9 and the related provisions of 5 CFR
1320.8(b)(3).
The following is a summary of the topics, regarding
the proposed collection of information, that the certification
covers:
(i) Why the information is being collected;
(ii) Use of information;
(iii) Burden estimate;
(iv) Nature of response (voluntary, required for a
benefit, or mandatory);
(v) Nature and extent of confidentiality; and
(vi) Need to display currently valid OMB control
number;
If you are unable to certify compliance with any of
these provisions, identify the item by leaving the box unchecked
and explain the reason in the Supporting Statement.