Information Collection Request
Medicaid Use Report
ICR 202312-0960-003 · OMB 0960-0267 · Received in OIRA
Forms and Documents
Document Name | Status |
|---|---|
Supplementary Document | 2023-12-29 |
Supporting Statement A | 2023-12-29 |
Addendum - 0267 (Final).docxIC Document Collections
| IC ID | Document Title | Status | |
|---|---|---|---|
| 9170 | Modified |
Medicaid Use ReportICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | SSA |
| OMB Control No | 0960-0267 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202008-0960-007 |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |