HEALTH MAINTENANCE ORGANIZATION NATIONAL DATA REPORTING REQUIREMENTS

ICR 198107-0937-002

OMB: 0937-0022

Federal Form Document

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Document
Name
Status
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ICR Details
0937-0022 198107-0937-002
Historical Active 198012-0937-005
HHS/OASH
HEALTH MAINTENANCE ORGANIZATION NATIONAL DATA REPORTING REQUIREMENTS
Revision of a currently approved collection   No
Regular
Approved without change 09/08/1981
Retrieve Notice of Action (NOA) 07/09/1981
The following tables are approved for continued use: For Type A HMO's- Tables 2, F-4, and F-5. For Type B HMOs- Tables 2, and F 1-5. No other tables are approved for continued use. OMB is not convinced that other data are necessary for programmatic purposes.
  Inventory as of this Action Requested Previously Approved
09/30/1983 09/30/1983 12/31/1981
536 0 1,600
10,720 0 2,600
0 0 0

THE NDRR PROVIDES OHMO STAFF INFORMATION REQUIRED TO EFFECTIVELY MONITOR AND EVALUATE THE PROGRESS AND EFFECTIVENESS OF THE HMO PROGRAM AND TO PROVIDE TECHNICAL ASSISTANCE TO HMOS AS APPROPRIATE. THIS ENSURES THE PROTECTION OF THE FEDERAL INVESTMENT AND ENROLLED MEMBERS OF HMOS. ADDITIONALLY, THE NDRR PROVIDES STATISTICAL DATA REQUIRED FO CONTINUED REGULATION.

None
None


No

1
IC Title Form No. Form Name
HEALTH MAINTENANCE ORGANIZATION NATIONAL DATA REPORTING REQUIREMENTS PHS-6080

  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 536 1,600 0 -231 -833 0
Annual Time Burden (Hours) 10,720 2,600 0 1,760 6,360 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/09/1981


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