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Federal forms, ICRs, and supporting documents

Information Collection Request

An Assessment of the Impact of Medicaid Managed Care on WIC Program Coordination with Primary Care Services.

ICR 200310-0536-001 · OMB 0536-0064 · Historical Active

Forms and Documents
DocumentTypeStatusAvailability
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC IDCollectionTypeStatusForm
1219 An Assessment of the Impact of Medicaid Managed Care on WIC Program Coordination with Primary Care Services. Migrated
ICR Details
0536-0064 200310-0536-001
Historical Active
USDA/ERS
An Assessment of the Impact of Medicaid Managed Care on WIC Program Coordination with Primary Care Services.
New collection (Request for a new OMB Control Number)   No
Regular
Approved with change 12/30/2003
Retrieve Notice of Action (NOA) 10/30/2003
Approved with understanding that ERS will include the revised question 4 on the Medicaid Directors' survey as agreed to 12/29/03. ERS will submit the complete survey, including this revised question, to OMB within seven days of clearance.
  Inventory as of this Action Requested Previously Approved
12/31/2006 12/31/2006
210 0 0
132 0 0
0 0 0
This study examines the relationships between the Supplemental Nutrition Program for Women, Infants, and Children (WIC) and Medicaid Managed Care Organizations, specifically the effect of various forms of Medicaid managed care implementation on WIC agencies' ability to coordinate services with primary care providers. The study examines the effects of various Medicaid managed care models on the implementation of coordination efforts among different models of WIC service delivery and primary care services supported by Medicaid and measures the impact of managed care on local efforts to coordinate WIC and primary care.
None
None
No
1
IC Title Form No. Form Name
An Assessment of the Impact of Medicaid Managed Care on WIC Program Coordination with Primary Care Services.
  Total Approved Previously Approved Change Due to New Statute Change Due to Agency Discretion Change Due to Adjustment in Estimate Change Due to Potential Violation of the PRA
Annual Number of Responses 210 0 0 210 0 0
Annual Time Burden (Hours) 132 0 0 132 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
No
$0
Yes Part B of Supporting Statement
No
Uncollected
Uncollected
Uncollected
Uncollected
  No
On behalf of this Federal agency, I certify that the collection of information encompassed by this request complies with 5 CFR 1320.9 and the related provisions of 5 CFR 1320.8(b)(3).
The following is a summary of the topics, regarding the proposed collection of information, that the certification covers:
 
 
 
 
 
 
 
    (i) Why the information is being collected;
    (ii) Use of information;
    (iii) Burden estimate;
    (iv) Nature of response (voluntary, required for a benefit, or mandatory);
    (v) Nature and extent of confidentiality; and
    (vi) Need to display currently valid OMB control number;
 
 
 
If you are unable to certify compliance with any of these provisions, identify the item by leaving the box unchecked and explain the reason in the Supporting Statement.
10/30/2003