PRA IC List
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Agenda
Reg Review
ICR
Information Collection List
IC Title
Status
Responses
Hours
Dollars
Document Type
Form No.
Form Name
Eligibility Verification (42 CFR 435.945, 435.948, 435.956, 457.350, and 457.380)
Removed
0
0
0
Periodic Renewal of Medicaid and CHIP Eligibility - Eligibility Notice (sections 435.916, 457.343, and 457.350)
Modified
96
1536
0
Periodic Renewal of Medicaid and CHIP Eligibility - Pre-Populated Renewal Form (sections 435.916, 457.343, and 457.350)
Modified
25500000
8500000
0
Periodic Renewal of Medicaid and CHIP Eligibility - Recordkeeping (sections 435.916, 457.343, and 457.350)
New
51000000
12750000
0
Web Sites (sections 435.1200 and 457.335)
Modified
53
26606
0
Total burden requested under this ICR:
76500149
21278142
0
To view an IC, click on IC Title
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The .gov means it's official.
The site is secure.
