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

View Information Collection (IC)

State Children's Health Insurance Program and Supporting Regulations in 42 CFR 457.525, 457.740, and 457.1180
 
No Modified
 
Required to Obtain or Retain Benefits
 
42 CFR 457.525 42 CFR 457.350 42 CFR 457.740 42 CFR 457.1180

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Instruction Yes No Printable Only
Form CMS-R-308 Yes Yes Fillable Fileable

Health Health Care Services

 

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 16,024,071 0 0 6,486,795 0 9,537,276
Annual IC Time Burden (Hours) 803,280 0 0 324,140 0 479,140
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
CROSSWALK: SEDS Instructions for Data Entry 09/29/2021
CROSSWALK: Statistical Enrollment Reports 09/29/2021
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.
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