State Medical Support Contacts and Program Requirement Matrix (State Respondents)

National Medical Support Notice - Part A

OMB: 0970-0222

IC ID: 255976

Information Collection (IC) Details

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State Medical Support Contacts and Program Requirement Matrix (State Respondents)
 
No Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form NMSN Matrix State Medical Support Contacts and Program Requirement Matrix 2022_10_27_NMSN_State_Medical_Support_Contacts_and_Program_Requirements_after 30 Day comments_clean.docx Yes Yes Fillable Fileable

Community and Social Services Social Services

 

54 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 54 0 0 0 0 54
Annual IC Time Burden (Hours) 54 0 0 0 0 54
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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