View Information Collection (IC)
View Information Collection (IC)

View Information Collection (IC)

Transformed - Medicaid Statistical Information System (T-MSIS)
 
No Modified
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-Data Dictionary Yes Yes Fillable Fileable
Other-Data Dictionary Appendices Yes Yes Fillable Fileable
Other-Record Layouts Yes Yes Fillable Fileable
Other-Validation Rules Yes Yes Fillable Fileable

Health Health Care Services

Medicaid Statistical Information System (MSIS)  71 FR 65527

51 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 612 0 0 0 0 612
Annual IC Time Burden (Hours) 6,120 0 0 0 0 6,120
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Crosswalk - Data Dictionaries 04/15/2016
Crosswalk - Record Layout 04/15/2016
Crosswalk - Validation Rules 04/15/2016
Change Request Log 04/15/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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