Medicaid Statistical Information System (MSIS)

Medicaid Statistical Information System (MSIS) and the Transformed - Medicaid Statistical Information System (T-MSIS) (CMS-R-284)

OMB: 0938-0345

IC ID: 7980

Documents and Forms
Document Name
Document Type
Other-Data Dictionary
Information Collection (IC) Details

View Information Collection (IC)

Medicaid Statistical Information System (MSIS)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Dictionary Feb2014-MSIS-DD - updated 25 April 2014.pdf Yes Yes Fillable Fileable

Health Health Care Services

Medicaid Statistical Information System (MSIS)  71 FR 65527

44 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 176 0 0 -28 0 204
Annual IC Time Burden (Hours) 1,760 0 0 -280 0 2,040
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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