Continued use of
the cost report is approved through January, 1983. Over the next 12
months HCFA will be expected to identify methods of reducing
respondent burden, and consider suggestions from organizations such
as the Hospital Financial Management Association, the American
Hospital Association, Blue Cross/Blue Shield etc. HCFA should
advise OMB periodically regarding progress in identifying burden
reduction options, including legislative changes needed to
accomplish burden reduction.
Inventory as of this Action
Requested
Previously Approved
01/31/1983
01/31/1983
12/31/1981
10,800
0
10,800
35,391,600
0
759,825
0
0
0
PROVIDERS PARTICIPATING IN THE
MEDICARE PROGRAM ARE REQUIRED TO SUBMIT THIS ANNUAL COST REPORT TO
EFFECT FINAL SETTLEMENT OF COSTS FOR PROVIDING HEALTH CARE SERVICES
TO MEDICARE BENEFICIARIES. THIS FORM WILL BE USED BY HOSPITALS,
SKILLED NURSING FACILITIES & HEALTH CARE COMPLEXES.
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.
HOSPITAL, SKILLED NURSING FACILITY & HEALTH CARE CAMPLEX COST REPORT