Transaction Data Collection

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

OMB: 0938-1121

IC ID: 212864

Information Collection (IC) Details

View Information Collection (IC)

Transaction Data Collection
 
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
Form CMS-10380 Grant Program Data Dictionary CMS-10380_Grant_Program_Data_Dictionary_.pdf No   Paper Only

Health Health Care Services

 

18 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 90 0 0 -120 210 0
Annual IC Time Burden (Hours) 6,300 0 0 0 6,300 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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