Effective Rate Review Program

Reporting Requirements for Grants to States for Rate Review Cycle IV and Effective Rate Review Program (CMS-10380)

OMB: 0938-1121

IC ID: 212865

Information Collection (IC) Details

View Information Collection (IC)

Effective Rate Review Program
 
No Modified
 
Required to Obtain or Retain Benefits
 
45 CFR 154.301

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

Health Health Care Services

 

49 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 49 0 0 0 0 49
Annual IC Time Burden (Hours) 245 0 0 0 0 245
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Effective Rate Review Determination and Status Questions CMS-10380_ERR Determination and Status Questions.pdf 08/28/2014
ERR - Survey Instructions CMS-10380 - Effective-Rate-Review-Survey-Instructions.docx 09/27/2016
ERR Program - Survey document CMS-10380 - Survey Track Change.docx 09/27/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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