State Medicaid Fraud Control Units Annual Report and Recertification Application

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
MFCU NPRM PRA Supporting Statement final.docx	Supporting Statement A	Uploaded 2017-01-11	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
209970	Annual Report, data mining reporting only		Unchanged
181665	Certification/Recertification Application		Unchanged
10317	State Medicaid Fraud Control Units Annual Report and Recertification Application		Unchanged

ICR Details

OMB Control No: 0990-0162	ICR Reference No: 201612-0990-002
Status: Historical Inactive	Previous ICR Reference No: 201401-0990-001
Agency/Subagency: HHS/HHSDM	Agency Tracking No: 20694
Title: State Medicaid Fraud Control Units Annual Report and Recertification Application
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Comment filed on proposed rule and continue	Conclusion Date: 03/13/2017
	Date Received in OIRA: 01/11/2017
Terms of Clearance: In accordance with 5 CFR 1320, the information collection is not approved at this time. Prior to publication of the final rule, the agency should provide to OMB a summary of all comments received on the proposed information collection and identify any changes made in response to these comments.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2017	36 Months From Approved	03/31/2017
Responses	113	0	113
Time Burden (Hours)	4,663	0	4,663
Cost Burden (Dollars)	0	0	0

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Abstract: The information contained in the annual reports and recertification application requests is required for the yearly certification/recertification of the current 49 state Medicaid Fraud Control Units by the Office of Inspector General (OIG). The information collected is reviewed and evaluated by the OIG to insure that federal matching grant funds to the Units are only expended for allowable costs incurred by the Units. The OIG also uses the information to determine if a particular state unit or units' needs technical assistance.

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Authorizing Statute(s): PL: Pub.L. 95 - 142 17 Name of Law: Medicaid Anti-Fraud and Abuse Amendments
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0936-AA07	Proposed rulemaking	81 FR 64383	09/20/2016

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 3

table that charts list of burden

IC Title	Form No.	Form Name
State Medicaid Fraud Control Units Annual Report and Recertification Application
Certification/Recertification Application
Annual Report, data mining reporting only

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $5,400

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 01/11/2017

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