Medicaid and Children's Health Insurance Program (CHIP) Generic Information Collection Activities: Proposed Collection; Comment Request
Notice.
Citation: "88 FR 66453"
Document Number: "Document Identifier: CMS-10398 #34"
Page Number: "66453"
"Notices"
Agency: "
SUMMARY: On
DATES: Comments must be received by
ADDRESSES: When commenting, please reference the applicable form number (see below) and the OMB control number (0938-1148). To be assured consideration, comments and recommendations must be submitted in any one of the following ways:
1. Electronically. You may send your comments electronically to http://www.regulations.gov. Follow the instructions for "Comment or Submission" or "More Search Options" to find the information collection document(s) that are accepting comments.
2. By regular mail. You may mail written comments to the following address:
CMS,
To obtain copies of a supporting statement and any related forms for the proposed collection(s) summarized in this notice, please access the CMS PRA website by copying and pasting the following web address into your web browser: https://www.cms.gov/Regulations-and-Guidance/Legislation/PaperworkReductionActof1995/PRA-Listing
FOR FURTHER INFORMATION CONTACT:
SUPPLEMENTARY INFORMATION: Following is a summary of the use and burden associated with the subject information collection(s). More detailed information can be found in the collection's supporting statement and associated materials (see ADDRESSES).
Generic Information Collection
1. Title of Information Collection: Model Application Template and Instructions for State Child Health Plan Under Title XXI of the Social Security Act, State Children's Health Insurance Program; Type of Information Collection Request: Revision of a currently approved collection; Use: This 2023 iteration proposes to revise the State plan template by adding a new section 6.5-Vaccine coverage, which consists of three new assurances to the state plan template to report compliance with the coverage requirements for age-appropriate vaccines. The revisions are intended to conform to statutory amendments made by section 11405(b)(1) of the Inflation Reduction Act. Form Number: CMS-10398 (#34) (OMB control number: 0938-1148); Frequency: Once; Affected Public: State, local, or Tribal governments; Number of Respondents: 40; Total Annual Responses: 40; Total Annual Hours: 160. (For policy questions regarding this collection contact:
Dated:
Director, Paperwork Reduction Staff,
[FR Doc. 2023-21062 Filed 9-26-23;
BILLING CODE 4120-01-P



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