View Information Collection (IC)

View Information Collection (IC)

Annual State Report and Annual State Performance Rankings (CMS-10241)
No Removed
Required to Obtain or Retain Benefits

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10241 Annual State Report and Annual State Performance Ranking Copy of CMS-10241-CMSStatesAnalysisdatacollectiontemplate v4(PART I).xls 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 0 0 0 -51 0 51
Annual IC Time Burden (Hours) 0 0 0 -765 0 765
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
No associated records found
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.