View Information Collection Request (ICR) Package

Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.

View ICR - OIRA Conclusion

OMB Control No: 0938-0449	ICR Reference No: 199309-0938-004
Status: Historical Active	Previous ICR Reference No: 198904-0938-040
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: STATE MEDICAID MANUAL, SEC. 4442-4445 HOME AND COMMUNITY-BASED SERVICES: WAIVER REQUIREMENTS 42 CFR SEC. 441.302 AND 441.303
Type of Information Collection: Reinstatement with change of a previously approved collection	Common Form ICR: No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/08/1993
	Date Received in OIRA: 09/08/1993
Terms of Clearance: This information collection is approved through 11-94 under the following condition: OMB would like to explore ways to reduce the burden of this application which currently stands at 200 per response. Upon the next submission, HCFA will develop ways to reduce the burden or recommend alternative approaches to the collection of this information.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	12/31/1994	12/31/1994
Responses	50	0	0
Time Burden (Hours)	10,000	0	0
Cost Burden (Dollars)	0	0	0

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