STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability

No forms / supporting documents in this ICR. Check IC Document Collections.

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
112686	STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES	Form	Migrated

ICR Details

OMB Control No: 0938-0059	ICR Reference No: 198211-0938-007
Status: Historical Inactive	Previous ICR Reference No: 197903-0938-003
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES
Type of Information Collection: Reinstatement without change of a previously approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Disapproved	Conclusion Date: 02/04/1983
Retrieve Notice of Action (NOA)	Date Received in OIRA: 11/10/1982
Terms of Clearance: THE POLICY PLANNING AND COSTING ACTIVITIES UNDERTAKEN BY OMB AND HHS I SUPPORT OF THE PRESIDENTS NEW FEDERALISM INITIATIVES IDENTIFIED SEVERE PROBLEMS RELATED TO THE RELIABILITY AND UTILITY OF THE DATA REPORTED THROUGH THE HCFA 2082. DURING THE ICB HEARING IN SEPTEMBER, OMB REQUESTED THAT HHS DEVISE INTERIM MEASURES TO IMPROVE THE QUALITY OF THE DATA RETRIEVED THROUGH THE HCFA 2082. DURING SUBSEQUENT MEETINGS BETWEEN HHS AND OMB STAFFS, HCFA AGREED TO DEVELOP A PLAN REVISING THE HCFA 2082 AND THE RELATED HCFA 120. IN THE ABSENCE OF A PROPOSAL DESIGNED TO IMPROVE THE RELIABILITY AND UTILITY OF THE DATA RETRIEVED THROUGH THE HCFA 2082 AND ADDRESS THE OMB CONCERNS, OMB HAS CONCLUDED THIS COLLECTION CAN NOT BE JUSTIFIED IN TERMS OF THE UTILITY OF THE DATA TO THE FEDERAL GOVERNMENT AND THE BURDEN IMPOSED ON THE STATE OMB WILL CONSIDER REINSTATEMENT OF THE HCFA 2082 OR A SIMILAR COLLECTI WHEN SUCH A REQUEST IS ACCOMPANIED BY A PLAN WHICH ADDRESSES THE UTILI CONCERNS RAISED BY OMB.

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		09/30/1982
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: THE ANNUAL DATA FROM THE HCFA-2082 ARE PUBLISHED AND USED BY FEDERAL, STATE AND LOCAL OFFICIALS AS WELL AS PRIVATE RESEARCHERS AND CORPORATIONS TO MONITOR PAST AND PROJECT FUTURE TRENDS IN THE MEDICAID (TITLE XIX) PROGRAM.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

table that charts list of burden

IC Title	Form No.	Form Name
STATISTICAL REPORT ON MEDICAL CARE: RECIPIENTS, PAYMENTS, SERVICES	HCFA-2082

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Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 11/10/1982

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