ICR Documents

Document Date Uploaded
Supporting Statement A_OMB 2022 7-13-22.docx 07/13/2022

Document Date Uploaded

Title Document Document Type Date Uploaded
Attachment A - Legislation Attachment A - Legislation.pdf Supplementary Document 05/20/2019
Section 501 of Title V of the Social Security Act Attachment A - Legislation.pdf Supplementary Document 08/23/2022
Crosswalk of Form Changes Attachment B1 - Crosswalk Table.docx Supplementary Document 08/23/2022
Domain-Specific Measures and Program-Specific Measures Attachment B - Measures and Detail Sheets_Clean.docx Supplementary Document 08/23/2022
Financial and Demographic Data Forms Attachment C - Financial and Demographic Data Elements_Clean.docx Supplementary Document 08/23/2022
Additional Data Elements Attachment D - Additional Data Elements_Clean.docx Supplementary Document 08/23/2022
Public Comments Attachment E Public Comments.docx Supplementary Document 08/23/2022
Summary of Public Comments Attachment F - Summary of Public Comments.docx Supplementary Document 08/23/2022
Change Memo - Also in IC List FINALMCHB DGIS Non Substantitive Changes Memo 0915-0298_0120.docx Justification for No Material/Nonsubstantive Change 01/23/2020
Non-Substantive Change Memo HRSA MCHB PMHCA-MDRBD Change Memo OMB Request for Non-Substantive Change_to HRSA-Oct2022.docx Justification for No Material/Nonsubstantive Change 10/26/2022

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