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GenIC #48 (Extension w/o change): Section 223 Demonstration Programs to Improve Community Mental Health Services

IC 229736 under ICR 201712-0938-019 · OMB 0938-1148.

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Document Name
Document Type
Instruction
Instruction
Form
IC Document
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GenIC #48 (Extension w/o change): Section 223 Demonstration Programs to Improve Community Mental Health Services
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction 48 - BHCMeasureSpecificationsVol1(508).pdf Yes Yes Printable Only
Form CMS-10398 #48 Attachment B: Quality Measurement Data Reporting Templates Demonstration223Templates(508).xlsx Yes Yes Fillable Fileable
Instruction 48 - BHCQMAppendicesVol2(508).pdf Yes Yes Printable Only

Health Health Care Services

 

24 0
   
State, Local, and Tribal Governments
 
   100 %

  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 528 0 528 0 0 0
Annual IC Time Burden (Hours) 1,387 0 1,387 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
#48 - Supporting Statement 48 - Supporting Statement Section 223 Demonstration Programs 04-26-17.docx 01/12/2018
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