Information Collection

Medicaid Managed Care Regulations (Private Sector)

IC 179886 under ICR 202601-0938-007 · OMB 0938-0920.

Documents and Forms

Document Name Document Type

No indexed documents/forms are available for this IC yet. A refresh has been queued.

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	Medicaid Managed Care Regulations (Private Sector)	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 42 CFR 438.242 42 CFR 438.208 42 CFR 438.210 42 CFR 438.240 42 CFR 438.207 42 CFR 438.404 42 CFR 438.416 42 CFR 438.8 42 CFR 438.10 42 CFR 438.12 42 CFR 438.102 42 CFR 438.236

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	URL	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability

Line of Business: Health

Subfunction: Health Care Services

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 689	Number of Respondents for Small Entity: 0

Affected Public: Private Sector	Private Sector: Businesses or other for-profits, Not-for-profit institutions

Percentage of Respondents Reporting Electronically: 80 %

	Requested	Program Change Due to Agency Discretion	Previously Approved
Annual Number of Responses for this IC	10,097,976	524,811	9,573,165
Annual IC Time Burden (Hours)	1,725,659	136,284	1,589,375
Annual IC Cost Burden (Dollars)	0	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.

Something went wrong when downloading this file. If you have any questions, please send an email to [email protected].