Information Collection Request

[Medicaid] Section 1115 Demonstration Projects Regulations at 42 CFR 431.408, 431.412, 431.420, 431.424, and 431.428 (CMS-10341)

ICR 202504-0938-013 · OMB 0938-1162 · Received in OIRA

Forms and Documents

Document Name	Status
Response to 30-day Comments (2025 version 2).pdf Supplementary Document	2025-04-11
Justification for a Nonsubstantive Change (CMS-10341).pdf Justification for No Material/Nonsubstantive Change	2025-04-11
CMS-10341. Supporting Statement A (1-31-25).docx Supporting Statement A	2025-01-31

IC Document Collections

IC ID	Document Title	Status
250574	Summative Report (431.424(c)(2)(v))	Unchanged
196284	Reporting Requirements (431.428(b)(2))	Unchanged
196283	Reporting Requirements (431.428(a)(1) - (11))	Unchanged
196282	Evaluation Requirements (431.424(e))	Unchanged
196281	Evaluation Requirements (431.424(d))	Unchanged
196280	Evaluation Requirements (431.424(c)(1)	Unchanged
196279	Monitoring and Compliance (431.420(b))	Unchanged
196278	Application Procedures (431.412(c))	Unchanged
196277	State Public Notice Process (431.412(a))	Unchanged
196276	Application Procedures (431.408(b)(1))	Unchanged
196275	State Public Notice Process (431.408(a)(1) and (a)(2)(i))	Unchanged

ICR Details

Status	Received in OIRA
Agency/Subagency	HHS/CMS
OMB Control No	0938-1162
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202501-0938-015
Agency Tracking No	CMCS
Date Submitted to OIRA	1969-12-31
Requested Expiration Date	1969-12-31