View Information Collection (IC)

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CHIPRA Connecting Kids to Coverage Outreach and Enrollment Grants (CMS-10398; GenIC #7)
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10398 (GenIC#7) CMS-10398_GenIC_7-CycleVaSAR508 CMS-10398_GenIC_7-CycleVaSAR508.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) CMS-10398_GenIC_7-CycleVbFinalSAR508 CMS-10398_GenIC_7-CycleVbFinalSAR508.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) CMS-10398_GenIC_7-CycleVbMonthlyReport508 CMS-10398_GenIC_7-CycleVbMonthlyReport508.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) CMS-10398_GenIC_7-CycleVbMonthlyReportwAIANTarget CMS-10398_GenIC_7-CycleVbMonthlyReportwAIANTarget.pdf Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) CMS-10398_GenIC_7-CycleVbMonthlyReportwTarget CMS-10398_GenIC_7-CycleVbMonthlyReportwTarget.pdf Yes Yes Fillable Fileable

Health Health Care Services

 

47 0
   
State, Local, and Tribal Governments
 
   100 %

  Approved 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 1,973 0 1,973 0 0 0
Annual IC Time Burden (Hours) 10,102 0 10,102 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10398_GenIC_7-SupportingStatement CMS-10398_GenIC_7-SupportingStatement.docx 06/09/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.