PRO SEMIANNUAL RESOURCES ALLOCATION REPORT

ICR 198507-0938-004

OMB: 0938-0440

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
113730 Migrated
ICR Details
0938-0440 198507-0938-004
Historical Active
HHS/CMS
PRO SEMIANNUAL RESOURCES ALLOCATION REPORT
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 08/26/1985
Retrieve Notice of Action (NOA) 07/17/1985
  Inventory as of this Action Requested Previously Approved
08/31/1987 08/31/1987
152 0 0
76 0 0
0 0 0

MEDICAN PROGRAM. CONTRACT MONITORING. THIS REPORT COLLECTS THE SEMIANNUAL ALLOCATION OF COSTS AND MANPOWER ASSOCIATED WITH THE REVIEW ACTIVITIES CARRIED OUT BY THE PRO. EACH PRO IS REQUIRED BY CONTRACT T PERFORM SPECIFIC REVIEWS AND THEY ARE PAID BASED ON THEIR PERFORMANCE THESE ACTIVITIES. THIS REPORT BREAKS DOWN COSTS ASSOCIATED WITH EACH TYPE OF REVIEW ACTIVITY PERFORMED.

None
None


No

1
IC Title Form No. Form Name
PRO SEMIANNUAL RESOURCES ALLOCATION REPORT HCFA-515

  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 152 0 0 152 0 0
Annual Time Burden (Hours) 76 0 0 76 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
07/17/1985


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