State Medicaid Fraud Control Units Annual Report and Recertification Application

State Medicaid Fraud Control Units Annual Report and Recertification Application

OMB: 0990-0162

IC ID: 10317

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State Medicaid Fraud Control Units Annual Report and Recertification Application
 
No Unchanged
 
Required to Obtain or Retain Benefits
 
42 CFR 1007.17

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

Law Enforcement Criminal Investigation and Surveillance

 

50 0
   
State, Local, and Tribal Governments
 
   0 %

  Requested 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 50 0 0 0 0 50
Annual IC Time Burden (Hours) 4,400 0 0 0 0 4,400
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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