Information Collection Request

PACE State Plan Amendment Pre-print (CMS-10227)

ICR 202301-0938-020 · OMB 0938-1027 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10227 - Supporting Statement A (2022 version 4).docx Supporting Statement A Uploaded 2023-02-08 Repair queued

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
181912 PACE State Plan Option Preprint (CMS-10227) Instruction Unchanged

ICR Details

Record metadata
Received in OIRA
HHS/CMS
0938-1027
Extension without change of a currently approved collection
202001-0938-017
CMCS
1969-12-31
1969-12-31