Information Collection

GenIC #76 (New): Expressions of Interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group

IC 252863 under ICR 202401-0938-016 · OMB 0938-1148.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-1148 can be found here:

Documents and Forms

Documents and forms in this information collection
Document Name	Document Type
Form CMS-10398 #76 GenIC #76 (New): Expressions of Interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group	Form and Instruction
Form CMS-10398 #76 GenIC #76 (New): Expressions of Interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group	Form and Instruction
LRCDFactSheet_508.pdf	Other-Fact Sheet
LRCDFactSheet_508.pdf	Other-Fact Sheet
CMS-10398 #76 Maternal and Infant Health Initiative Improving Maternal #76 - LRCD_EOI_508 (2022 version 2).pdf	Form and Instruction
CMS-10398 #76 Maternal and Infant Health Initiative Improving Maternal #76 - LRCD_EOI_508 (2022 version 2).pdf	Form and Instruction
GenIC #76 - Generic Supporting Statement (2022 version 4).docx Generic Supporting Statement	IC Document
GenIC #76 - Generic Supporting Statement (2022 version 4).docx Generic Supporting Statement	IC Document
Response to Public Comments.pdf Response to Public Comments	IC Document
Response to Public Comments.pdf Response to Public Comments	IC Document
l1o-j3wh-o1p0 - Combined Cover and Comment.pdf Public Comment #1	IC Document
l1o-j3wh-o1p0 - Combined Cover and Comment.pdf Public Comment #1	IC Document
l1w-07e6-uie6 - Combined Cover and Comment.pdf Public Comment #2	IC Document
l1w-07e6-uie6 - Combined Cover and Comment.pdf Public Comment #2	IC Document

IC Title:

GenIC #76 (New): Expressions of Interest in the Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Affinity Group

Agency IC Tracking Number:

CMCS

IC Status: Unchanged

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

table that charts list of instruments
Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	CMS-10398 #76	Maternal and Infant Health Initiative Improving Maternal Health by Reducing Low-Risk Cesarean Delivery Learning Collaborative Affinity Group Expression of Interest Form	#76 - LRCD_EOI_508 (2022 version 2).pdf		Yes	Yes	Fillable Fileable
Other-Fact Sheet			LRCDFactSheet_508.pdf		No		Printable Only

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records

Title:

FR Citation:

Number of Respondents: 20

Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

table that charts list of burden
	Requested	Previously Approved
Annual Number of Responses for this IC	20	20
Annual IC Time Burden (Hours)	140	140
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

table that charts IC Documents
Title	Document	Date Uploaded
Generic Supporting Statement	GenIC #76 - Generic Supporting Statement (2022 version 4).docx	04/13/2022
Response to Public Comments	Response to Public Comments.pdf	04/13/2022
Public Comment #1	l1o-j3wh-o1p0 - Combined Cover and Comment.pdf	04/13/2022
Public Comment #2	l1w-07e6-uie6 - Combined Cover and Comment.pdf	04/13/2022

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.