FORM HCFA-231, "COMPENSATION SURVEY OF KEY ADMINISTRATIVE EMPLOYEES"

ICR 198203-0938-016

OMB: 0938-0143

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
0938-0143 198203-0938-016
Historical Active 198101-0938-002
HHS/CMS
FORM HCFA-231, "COMPENSATION SURVEY OF KEY ADMINISTRATIVE EMPLOYEES"
No material or nonsubstantive change to a currently approved collection   No
Emergency 03/30/1982
Approved with change 03/30/1982
Retrieve Notice of Action (NOA) 03/30/1982
  Inventory as of this Action Requested Previously Approved
12/31/1982 12/31/1982 12/31/1982
667 0 667
1,000 0 334
0 0 0

THIS SURVEY WILL BE ADMINISTERED ONCE EVERY 3 YEARS TO A RANDOM SAMPLE OF HEALTH CARE PROVIDERS. IT WILL GATHER DATA ON THE COMPENSATION OF KEY ADMINISTRATIVE EMPLOYEES. THE RESULTS OF THE SURVEY WILL BE PUBLISHED AS GUIDELINES FOR INTERMEDIARIES IN DETERMINING THE REASONABLENESS OF COMPENSATION FOR KEY ADMINISTRATIVE EMPLOYEES.

None
None


No

1
IC Title Form No. Form Name
FORM HCFA-231, "COMPENSATION SURVEY OF KEY ADMINISTRATIVE EMPLOYEES" HCFA-231

  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 667 667 0 0 0 0
Annual Time Burden (Hours) 1,000 334 0 0 666 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.
03/30/1982


© 2024 OMB.report | Privacy Policy