AMBULATORY HEALTH CARE CENTER STANDARDS FOR BUREAU OF COMMUNITY HEALTH SERVICES CENTERS

ICR 197606-0938-005

OMB: 0938-0111

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0111 197606-0938-005
Historical Active 197606-0938-004
HHS/CMS
AMBULATORY HEALTH CARE CENTER STANDARDS FOR BUREAU OF COMMUNITY HEALTH SERVICES CENTERS
Extension without change of a currently approved collection   No
Regular
Approved without change 07/29/1976
Retrieve Notice of Action (NOA) 06/30/1976
  Inventory as of this Action Requested Previously Approved
07/31/1981 07/31/1981 07/31/1976
4,440 0 680
2,220 0 1,360
0 0 0

STANDARDS ARE USED BY CENTERS TO HELP THEM ORGANIZE THEIR HEALTH SERVICES AND BY THE FEDERAL GOVERNMENT TO HELP IT ASSESS THE CAPABILITY OF THE CENTERS TO ASSURE THE HEALTH AND SAFETY OF PATIENTS.

None
None


No

1
IC Title Form No. Form Name
AMBULATORY HEALTH CARE CENTER STANDARDS FOR BUREAU OF COMMUNITY HEALTH SERVICES CENTERS HSABQA, 1114

  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 4,440 680 0 0 3,760 0
Annual Time Burden (Hours) 2,220 1,360 0 0 860 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$0
No
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.
06/30/1976


© 2024 OMB.report | Privacy Policy