Emergency Reinstatement

[Medicaid] Generic Clearance for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398)

⚠️ Notice: This information collection may be referencing outdated material.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

Documents and Forms

Document Name Document Type
Total Inventory NOA (issued 04-26-2024).pdf Other-
Total Inventory NOA (issued 04-26-2024).pdf Other-
CMS-10398 Reinstat Reinstatement Inventory Reinstatement Inventory.docx Form and Instruction
CMS-10398 Reinstat Reinstatement Inventory Reinstatement Inventory.docx Form and Instruction

Information Collection (IC) Details

IC Title:	Emergency Reinstatement	Agency IC Tracking Number:	CMCS

IC Status: New

Obligation to Respond: Voluntary

CFR Citation:

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Other-			Total Inventory NOA (issued 04-26-2024).pdf		Yes	Yes	Fillable Fileable
Form and Instruction	CMS-10398 Reinstated GenICs	Reinstatement Inventory	Reinstatement Inventory.docx		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: 75 %

	Requested	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	56	56
Annual IC Time Burden (Hours)	360,136	360,136
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.