Training Modules

Annual Early and Periodic Screening, Diagnostic and Treatment Services (EPSDT) Participation Report (CMS-416)

OMB: 0938-0354

IC ID: 217460

Documents and Forms
Document Name
Document Type
Other-Video Training Modules
Information Collection (IC) Details

View Information Collection (IC)

Training Modules
No Modified

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Video Training Modules Training Modules.docx No   Printable Only

Health Health Care Services


56 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 56 0 0 0 0 56
Annual IC Time Burden (Hours) 154 0 -112 0 0 266
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.

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