Information Collection Request

National Medical Support Notice - Part A

ICR 202302-0970-005 · OMB 0970-0222 · Active

⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0970-0222 can be found here:

Forms and Documents

Document	Type	Status	Availability
Form NMSN Matrix State Medical Support Contacts and Program Requirement Matrix (State Respondents)	Form	Unchanged	Repair queued
Form Part A - Revised 2 National Medical Support Notice-Part A (Employer Respondents)	Form	Modified	Repair queued
Form Part A - Revised 2 National Medical Support Notice-Part A (State Respondents)	Form	Modified	Repair queued
NMSN Part A _NonSub Change Request_nc_3-2-23.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2023-03-02	Repair queued
NonSub Change Request - MNSN Updates 0970-0222.docx	Justification for No Material/Nonsubstantive Change	Uploaded 2022-11-23	Repair queued
2022 10 27 Public Comments Received on the National Medical Support Notice Part A after 30 day comment period Responses Final for NC.docx	Supplementary Document	Uploaded 2022-11-23	Repair queued
Attachment A - Public Comments Received on the National Medical Support Notice Part A_final.docx	Supplementary Document	Uploaded 2022-09-16	Available
2022 10 27 NMSN_Part_A_Sample_Form_after 30 day comment period clean Final to NC.docx	Supplementary Document	Uploaded 2022-11-23	Available
NMSN Part A Supporting Statement _9.15.22_final.docx	Supporting Statement A	Uploaded 2022-09-16	Repair queued

IC Document Collections

IC ID	Collection	Type	Status
255976	State Medical Support Contacts and Program Requirement Matrix (State Respondents)	Form	Unchanged
236881	National Medical Support Notice-Part A (Employer Respondents)	Form	Modified
10060	National Medical Support Notice-Part A (State Respondents)	Form	Modified

ICR Details

Status	Active
Agency/Subagency	HHS/ACF
OMB Control No	0970-0222
Type of Information Collection	No material or nonsubstantive change to a currently approved collection
Previous ICR Reference No	202211-0970-008
Agency Tracking No	OCSE
Date Submitted to OIRA	2023-03-03
Requested Expiration Date	1969-12-31