MEDICAID/MEDICARE ABUSE REPORT

ICR 198310-0938-002

OMB: 0938-0076

Federal Form Document

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
112796 Migrated
ICR Details
0938-0076 198310-0938-002
Historical Active 198108-0938-009
HHS/CMS
MEDICAID/MEDICARE ABUSE REPORT
Revision of a currently approved collection   No
Regular
Approved without change 11/10/1983
Retrieve Notice of Action (NOA) 10/19/1983
  Inventory as of this Action Requested Previously Approved
09/30/1986 09/30/1986 10/31/1983
6,519 0 6,519
1,630 0 1,630
0 0 0

DATA COLLECTION IS NEEDED FOR CONTRACTOR AND STATE INDIVIDUAL CASE CONTROL OF ISSUES REQUIRING FULL SCALE INVESTIGATION FOR POTENTIAL PROGRAM ABUSE. THE INFORMATION IS NEEDED FOR ANALYSES PATTERNS, TREND AND FOR PROGRAM EVALUATION DURING MANAGEMENT AUDITS. THESE DATA ARE COLLECTED BY STATES AND CONTRACTORS REGARDING CONTRACTOR ACTIVITIY.

None
None


No

1
IC Title Form No. Form Name
MEDICAID/MEDICARE ABUSE REPORT HCFA-51

  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 6,519 6,519 0 0 0 0
Annual Time Burden (Hours) 1,630 1,630 0 0 0 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.
10/19/1983


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