Interventions (42 CFR 456.711)

Medicaid Drug Utilization Review (DUR) Annual Report (CMS-R-153)

OMB: 0938-0659

IC ID: 196902

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Interventions (42 CFR 456.711)
 
No Unchanged
 
Mandatory
 
42 CFR 456.711

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   0 %

  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 204 0 0 0 0 204
Annual IC Time Burden (Hours) 12,240 0 0 0 0 12,240
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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