OMB.report

Federal forms, ICRs, and supporting documents

Information Collection

Pretesting for Direct Certification with Medicaid Demonstrations

IC 223971 under ICR 201503-0584-004 · OMB 0584-0606.

Documents and Forms
Document Name
Document Type
Other-DCM-FRP Generic OMB Appendix A
Other-DCM-FRP Generic OMB Appendix A
Other-DCM-FRP Generic OMB Appendix A
Other-DCM-FRP Generic OMB Appendix A
Other-DCM-FRP Generic OMB Appendix B
Other-DCM-FRP Generic OMB Appendix C
Other-DCM-FRP Generic OMB Appendix C
Other-DCM-FRP Generic OMB Appendix C
Other-DCM-FRP Generic OMB Appendix C
Other-DCM-FRP Generic OMB Appendix D
IC Document
Information Collection (IC) Details

View Information Collection (IC)

Pretesting for Direct Certification with Medicaid Demonstrations
 
New
 
Voluntary
 

Document Type Form No. Form Name Instrument File URL Available Electronically? Can Be Submitted Electronically? Electronic Capability
Other-DCM-FRP Generic OMB Appendix A2 DCM-FRP Generic OMB Appendix A2.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix A3 DCM-FRP Generic OMB Appendix A3.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix A4 DCM-FRP Generic OMB Appendix A4.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix B DCM-FRP Generic OMB Appendix B.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix C1 DCM-FRP Generic OMB Appendix C1.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix C1a DCM-FRP Generic OMB Appendix C1a.xlsx No   Paper Only
Other-DCM-FRP Generic OMB Appendix C1b DCM-FRP Generic OMB Appendix C1b.xlsx No   Paper Only
Other-DCM-FRP Generic OMB Appendix C2 DCM-FRP Generic OMB Appendix C2.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix D DCM-FRP Generic OMB Appendix D.docx No   Paper Only
Other-DCM-FRP Generic OMB Appendix A1 DCM-FRP Generic OMB Appendix A1.docx No   Paper Only

Income Security Food and Nutrition Assistance

FNS-8 USDA/FNS Studies and Reports  56 FR 19078

96 0
   
State, Local, and Tribal Governments
 
   0 %

  Approved Program Change Due to New Statute Program Change Due to Agency Discretion Change Due to Adjustment in Agency Estimate Change Due to Potential Violation of the PRA Previously Approved
Annual Number of Responses for this IC 345 0 345 0 0 0
Annual IC Time Burden (Hours) 404 0 404 0 0 0
Annual IC Cost Burden (Dollars) 0 0 0 0 0 0

Title Document Date Uploaded
DCM-FRP Generic OMB Memo DCM-FRP Generic OMB Memo.docx 10/24/2016
            Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.