PSYCHIATRIC HOSPITAL SURVEY REPORT FORM

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
112905	PSYCHIATRIC HOSPITAL SURVEY REPORT FORM Form	Migrated

ICR Details

OMB Control No: 0938-0104	ICR Reference No: 198301-0938-006
Status: Historical Inactive	Previous ICR Reference No: 198204-0938-004
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: PSYCHIATRIC HOSPITAL SURVEY REPORT FORM
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: 03/10/1983
	Date Received in OIRA: 01/17/1983
Terms of Clearance: AS INDICATED IN CHRISTOPHER DEMUTHS JANUARY 4, 1983, LETTER TO DALE SOPPER, ANY FORM PRESCRIBED FOR USE BY HHS AS PART OF AN INFORMATION COLLECTION MUST SHOW A CURRENT OMB NUMBER. SINCE HHS REQUIRES STATE INSPECTION AGENCIES OR OTHER PERSONS TO USE THE HCFA 1537A, IT MAY ONL BE USED IF IT REFLECTS A CURRENT OMB NUMBER. THIS CLEARANCE REQUEST I THEREFORE NOT APPROVED SINCE IT IS INCONSISTENT WITH THE TERMS OF THE PAPERWORK REDUCTION ACT IN THAT HHS IS PROPOSING TO REVISE THE HCFA 1537A BY REMOVING THE OMB NUMBER.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date		12/31/1982
Responses	0	0	0
Time Burden (Hours)	0	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: INFORMATION FROM THIS FORM IS USED TO DETERMINE WHETHER A PSYCHIATRIC HOSPITAL MEETS THE REQUIREMENTS FOR PARTICIPATION IN THE MEDICARE PROGRAM. THE INFORMATION IS COLLECTED BY STATE AGENCIES. THE INFORMATION FROM THIS FORM IS ALSO USED TO PRODUCE REPORTS ON PROGRAM ACTIVITIES AND TO EVALUATE THE PERFORMANCE OF STATE AGENCIES.

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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

IC Title	Form No.	Form Name
PSYCHIATRIC HOSPITAL SURVEY REPORT FORM	HCFA-1537A, 1514

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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: 01/17/1983

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