View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0697	ICR Reference No: 201305-0938-003
Status: Historical Active	Previous ICR Reference No: 200910-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No: 19437
Title: Medicaid Report on Payables and Receivables
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 with change	Conclusion Date: 06/04/2013
	Date Received in OIRA: 05/03/2013
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	06/30/2016	36 Months From Approved
Responses	56	0	0
Time Burden (Hours)	392	0	0
Cost Burden (Dollars)	0	0	0

ICR Summary of Burden

	Total Approved	Change Due to Agency Discretion	Change Due to Potential Violation of the PRA
Annual Number of Responses	56	0	56
Annual Time Burden (Hours)	392	56	336
Annual Cost Burden (Dollars)	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Miscellaneous Actions

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: Due to CFO audit request, an additional line is added to recast information. Please note that there is an increase of 1 hour in the burden calculation for information collection by the states

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