PAYMENT FOR PHYSICIAN SERVICES FURNISHED IN HOSPITALS, SNFS AND CORFS (BPP-192-FC)

ICR 198409-0938-025

OMB: 0938-0285

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0285 198409-0938-025
Historical Active 198302-0938-004
HHS/CMS
PAYMENT FOR PHYSICIAN SERVICES FURNISHED IN HOSPITALS, SNFS AND CORFS (BPP-192-FC)
No material or nonsubstantive change to a currently approved collection   No
Emergency 09/28/1984
Approved with change 09/28/1984
Retrieve Notice of Action (NOA) 09/28/1984
  Inventory as of this Action Requested Previously Approved
02/28/1985 02/28/1985 02/28/1985
1 0 1
50,000 0 1
0 0 0

C THESE REGULATIONS SET FORTH CONDITIONS OF COVERAGE AND METHODS OF DETERMINING REIMBURSEMENT FOR SERVICES OF PHYSICIANS COMPENSATED BY MEDICARE PROVIDERS, INCLUDING SPECIAL CONDITIONS FOR ANESTHESIA, RADIOLOGY AND PATHOLOGY SERVICES.

None
None


No

1
IC Title Form No. Form Name
PAYMENT FOR PHYSICIAN SERVICES FURNISHED IN HOSPITALS, SNFS AND CORFS (BPP-192-FC) HCFA R-20

  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 1 1 0 0 0 0
Annual Time Burden (Hours) 50,000 1 0 0 49,999 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.
09/28/1984


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