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GenIC #69 (New): Reporting Requirements for Additional Funding for Medicaid HCBS During the COVID-19 Emergency

IC 247050 under ICR 202401-0938-016 · OMB 0938-1148.

Documents and Forms
Document Name
Document Type
Other-SMDL
Other-SMDL
IC Document
IC Document
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GenIC #69 (New): Reporting Requirements for Additional Funding for Medicaid HCBS During the COVID-19 Emergency CMCS
 
Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-SMDL 00451257 SMD ARP FMAP HCBS - EOP clean 5.10 6pm.docx Yes Yes Fillable Fileable Signable

Health Health Care Services

 

56 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 616 0 0 0 0 616
Annual IC Time Burden (Hours) 1,344 0 0 0 0 1,344
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement GenIC #69 - Generic Supporting Statement (2021 version 4).docx 05/11/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.