GenICs Needing Emergency Processing

Generic Collections for Medicaid and CHIP State Plan, Waiver, and Program Submissions (CMS-10398 Part II)

Documents and Forms

Document Name Document Type
Total Inventory NOA (issued 04-26-2024).pdf Other-GenIC Inventory (Total)
Total Inventory NOA (issued 04-26-2024).pdf Other-GenIC Inventory (Total)
Reinstatement Inventory.docx Other-Emergency GenICs (Reinstatemen
Reinstatement Inventory.docx Other-Emergency GenICs (Reinstatemen

Information Collection (IC) Details

IC Title:	GenICs Needing Emergency Processing	Agency IC Tracking Number:	CMCS

Is this a Common Form? No		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-GenIC Inventory (Total)			Total Inventory NOA (issued 04-26-2024).pdf		Yes	Yes	Fillable Fileable
Other-Emergency GenICs (Reinstatement)			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: 80 %

	Approved	Program Change Due to Agency Discretion
Annual Number of Responses for this IC	15,978	15,978
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.