Used Burden (GenIC Inventory)

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

Documents and Forms

Document Name Document Type
GenIC Inventory 09-01-2023.pdf Other-GenIC Inventory
GenIC Inventory 09-01-2023.pdf Other-GenIC Inventory

Information Collection (IC) Details

IC Title:	Used Burden (GenIC Inventory)	Agency IC Tracking Number:

IC Status: New

Obligation to Respond: Mandatory

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-GenIC Inventory			GenIC Inventory 09-01-2023.pdf		Yes	Yes	Fillable Fileable

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 56	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 100 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	696	696
Annual IC Time Burden (Hours)	20,712	20,712
Annual IC Cost Burden (Dollars)	0	0

Documents for IC

Title	Document	Date Uploaded
No associated records found

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