Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View Generic ICR - OIRA Conclusion

OMB Control No: 0938-1188	ICR Reference No: 201708-0938-004
Status: Historical Active	Previous ICR Reference No: 201603-0938-022
Agency/Subagency: HHS/CMS	Agency Tracking No: CMCS
Title: Medicaid and CHIP Program (MACPro) (CMS-10434)
Type of Information Collection: No material or nonsubstantive change to a currently approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 08/07/2017
Retrieve Notice of Action (NOA)	Date Received in OIRA: 08/03/2017
Terms of Clearance: Approved with the understanding that some of the burden hours are also captured under 0938-1148. in order to avoid double-counting, the burden hours associated with 0938-1148 should be reassessed periodically and eliminated as they are accounted for under this ICR.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	08/31/2019	08/31/2019	08/31/2019
Responses	280	0	280
Time Burden (Hours)	96,844	0	2,772
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Previously Approved	Change Due to Adjustment in Estimate
Annual Number of Responses	280	280	0
Annual Time Burden (Hours)	96,844	2,772	94,072
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: The previous approval inadvertently did not account for the full bank of burden hours requested in the supporting statement.