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

View Information Collection (IC)

CHIPRA Connecting Kids to Coverage Outreach and Enrollment Grants (CMS-10398; GenIC #7)
 
Unchanged
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10398 (GenIC#7) Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) Yes Yes Fillable Fileable
Form and Instruction CMS-10398 (GenIC#7) Yes Yes Fillable Fileable

Health Health Care Services

 

47 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 1,973 0 0 0 0 1,973
Annual IC Time Burden (Hours) 10,102 0 0 0 0 10,102
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CMS-10398_GenIC_7-SupportingStatement 06/09/2022
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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