View Information Collection (IC)

View Information Collection (IC)

Payment Error Rate Measurement in Medicaid and the State Children Health Insurance Program
No Unchanged
42 CFR 431.970

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Form and Instruction CMS-10166 CAP SHO Letter CAP SHO Letter FINAL to OMB 090407.doc No No Fillable Fileable
Form CMS-10166 IPIA IPIA.pdf Yes Yes Fillable Printable

Health Health Care Services


34 0
State, Local, and Tribal Governments
   99 %

  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 34 0 0 0 0 34
Annual IC Time Burden (Hours) 56,100 0 0 0 0 56,100
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

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            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.