MEDICAID QUALITY CONTROL STATISTICAL SUMMARY REPORTS

ICR 198003-0938-001

OMB: 0938-0082

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
112815 Migrated
ICR Details
0938-0082 198003-0938-001
Historical Active 197809-0938-001
HHS/CMS
MEDICAID QUALITY CONTROL STATISTICAL SUMMARY REPORTS
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 06/09/1980
Retrieve Notice of Action (NOA) 03/10/1980
  Inventory as of this Action Requested Previously Approved
05/31/1981 05/31/1981
53 0 0
3,928 0 0
0 0 0

THE MQC PROGRAM DEPENDS HEAVILY ON THE RECEIPT OF TIMELY, ACCURATE AND COMPLETE INFORMATION ABOUT THE RESULTS OF QUALITY CONTROL OPERATIONS. THE REQUIRED STATISTICAL TABLES YIELD INFORMATION ABOUT TYPES OF ERRORS LEADING TO MISSPENT DOLLARS. THE ACTION STATES SHOULD TAKE IN AN ATTEMPT TO CORRECT THE CAUSES OF ERRORS DETERMINES THE KIND OF ASSISTANCE THE FED GOV'T CAN PROVIDE FOR IMPROVING EFFICIENCY.

None
None


No

1
IC Title Form No. Form Name
MEDICAID QUALITY CONTROL STATISTICAL SUMMARY REPORTS HCFA 302, THRU 312

  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 53 0 0 0 53 0
Annual Time Burden (Hours) 3,928 0 0 0 3,928 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.
03/10/1980


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