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 No Fillable Fileable
Other-Valid_Value_List Yes No Fillable Fileable
Other-Appendix Yes No Fillable Fileable
Other-Record_SegmentRelationships Yes No Fillable Fileable

Health Health Care Services

Medicaid Statistical Information System (MSIS)  71 FR 65527

54 0
   
State, Local, and Tribal Governments
 
   100 %

  Requested 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 648 0 0 0 0 648
Annual IC Time Burden (Hours) 7,290 0 0 0 0 7,290
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Redline - Data Dictionary 06/15/2026
Redline - Valid Value List 06/15/2026
Crosswalk - Valid Value List 06/15/2026
Redline - Data Dictionary Appendices 06/15/2026
Crosswalk - Data Dictionary 06/15/2026
Redline - File Segment Layout 06/15/2026
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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