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View Information Collection (IC)

View Information Collection (IC)

GenIC #66 (Revision): Medicaid and Children's Health Insurance Program Eligibility Processing Data Report CMCS
 
New
 
Mandatory
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form CMS-10398 #66 Yes Yes Fillable Fileable
Instruction Yes Yes Fillable Fileable
Form CMS-10398 #66 Yes Yes Fillable Fileable
Other-SHO Letter No   Printable Only

Health Health Care Services

 

56 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 1,344 0 1,344 0 0 0
Annual IC Time Burden (Hours) 18,816 0 18,816 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
Generic Supporting Statement 08/02/2024
REDLINE: Eligibility Processing Data Report Specifications 08/02/2024
CROSSWALK: Eligibility Processing Data Report Specifications 08/02/2024
REDLINE: Eligibility Processing Data Report 08/02/2024
CROSSWALK: Eligibility Processing Data Report 08/02/2024
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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