Information Collection Request

Medicaid and CHIP Program (MACPro) (CMS-10434)

ICR 202307-0938-010 · OMB 0938-1188 · Received in OIRA

Forms and Documents

Forms and supporting documents for this ICR
DocumentTypeStatusAvailability
CMS-10434 - Supporting Statement A (2023 version 6).docx Supporting Statement A Uploaded 2023-07-31 Missing upstream

IC Document Collections

Information collection document groups
IC IDCollectionTypeStatusForm
261309 2023 Renewal: Extension without change of active collections of information (GenICs #1, #2, #3, #15, #22, #26, #45, #47, and #77) Other-Active GenICs Forms and Supplemental Documents New

ICR Details

Reginfo record details
table that charts list comparision
  Requested Previously Approved
36 Months From Approved 07/31/2023
716 280
96,844 96,844
0 0





Reginfo record details
1
table that charts list of burden
IC Title Form No. Form Name
2023 Renewal: Extension without change of active collections of information (GenICs #1, #2, #3, #15, #22, #26, #45, #47, and #77)

table that charts list of burden
  Total Request Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 716 280 0 436 0 0
Annual Time Burden (Hours) 96,844 96,844 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0


Reginfo record details
  No