GenIC Inventory 09-01-2023

NOTICE OF OFFICE OF MANAGEMENT AND BUDGET ACTION
Date

09/01/2023

Department of Health and Human Services
Centers for Medicare & Medicaid Services
FOR CERTIFYING OFFICIAL:

Karl Mathias

FOR CLEARANCE OFFICER:

Sherrette Funn

In accordance with the Paperwork Reduction Act, OMB has taken action on your request received
07/31/2023
ACTION REQUESTED:

Revision of a currently approved collection

IC TITLE:
ICR REFERENCE NUMBER:

202307-0938-010

AGENCY ICR TRACKING NUMBER:
TITLE:

CMCS

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

LIST OF INFORMATION COLLECTIONS: See next page
OMB ACTION: Approved without change
OMB CONTROL NUMBER:

0938-1188

The agency is required to display the OMB Control Number and inform respondents of its legal significance in
accordance with 5 CFR 1320.5(b).
EXPIRATION DATE: 09/30/2026

BURDEN:

DISCONTINUE DATE:

RESPONSES

HOURS

COSTS

Previous

280

96,844

0

New

716

96,844

0

0

0

0

436

0

0

Change due to Agency Adjustment

0

0

0

Change due to PRA Violation

0

0

0

Difference
Change due to New Statute
Change due to Agency Discretion

TERMS OF CLEARANCE:
OMB Authorizing Official:

Dominic J. Mancini
Deputy Administrator,
Office Of Information And Regulatory Affairs

IC Title

Form No.

List of ICs
Form Name

CFR Citation

2023 Renewal:
Extension without
change of active
collections of
information (GenICs #1,
#2, #3, #15, #22, #26,
#45, #47, and #77)
Total Hours Actually Used for Information Collections Under Currently Approved ICR:

Hrs/$/Resp
20,712 / 0 / 696

20,712