THIS REQUEST FOR
CLEARANCE IS APPROVED THROUGH JULY 1986. ANY REQUEST FOR EXTENSION
MUST BE ACCOMPANIED BY STATISTICS SHOWING HOW MANY STATE WERE
DETERMINED, BY USE OF THESE DATA,TO HAVE EXCEEDED THE DEPARTMENT'
STANDARDS, THE STEPS TAKEN TO CORRECT DEFICIENCIES, AND WHAT THE
CONSEQUENCES OF A LESS FREQUENT COLLECTION WOULD HAVE BEEN. THIS
INFORMATION SHOULD BE BASED ON ACTUAL OCCURANCES DURING THE TWO
YEARS PRIOR TO THE REQUEST FOR EXTENSION AND THE DATA SHOLD BE
PRESENTED IN SUCH A MANNER AS TO PERMIT ANALYSIS OF THE IMPACT OF
THIS MONTHLY COLLECTION AND A LESS FREQUENT COLLECTION.
Inventory as of this Action
Requested
Previously Approved
07/31/1986
07/31/1986
636
0
0
2,544
0
0
0
0
0
THIS REPORT IS USED TO MONITOR THE
BENEFIT APPEALS PROCESS TO EVALUATE COMPLIANCE WITH APPEALS
PROMPTNESS STANDARDS AND TO DEVELOP PLANS FOR REMEDIAL ACTION. THE
REPORT IS ALSO NEEDED FOR BUDGET AND FOR WORKLOAD FIGURES.
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.