State Children's Health Insurance Program and Supporting Regulations in 42 CFR 457.525, 457.740, and 457.1180

[Medicaid] State Children's Health Insurance Program and Supporting Regulations (CMS-R-308)

OMB: 0938-0841

IC ID: 8644

Information Collection (IC) Details

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State Children's Health Insurance Program and Supporting Regulations in 42 CFR 457.525, 457.740, and 457.1180
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 457.525 42 CFR 457.350 42 CFR 457.740 42 CFR 457.1180

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction SEDSInstructions.pdf Yes No Printable Only
Form CMS-R-308 Statistical Enrollment Reports Screenshots (Forms: CMS-21E; CMS-64.21E; CMS-64.EC; CMS-21PW; and Form Gender, Race, Ethnicity) Complete SEDS Report_Example.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

51 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 16,024,071 0 0 0 0 16,024,071
Annual IC Time Burden (Hours) 803,280 0 0 0 0 803,280
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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