Beneficiary Feedback Mechanism (on-going burden) (sec. 447.203(b)(7))

Methods for Assuring Access to Covered Medicaid Services Under 42 CFR 447.203 and 447.204 (CMS-10391)

OMB: 0938-1134

IC ID: 218855

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Beneficiary Feedback Mechanism (on-going burden) (sec. 447.203(b)(7))
 
No Unchanged
 
Mandatory
 
42 CFR 447.203(b)(7)

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

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   100 %

  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 51 0 0 0 0 51
Annual IC Time Burden (Hours) 4,080 0 0 0 0 4,080
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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