STANDARD SETTING REQUIREMENTS FOR MEDICAL AND NONMEDICAL FACILITIES WHERE SSI RECIPIENTS RESIDE

ICR 198603-0980-001

OMB: 0980-0154

Federal Form Document

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ICR Details
0980-0154 198603-0980-001
Historical Active 198303-0980-002
HHS/HDSO
STANDARD SETTING REQUIREMENTS FOR MEDICAL AND NONMEDICAL FACILITIES WHERE SSI RECIPIENTS RESIDE
Revision of a currently approved collection   No
Regular
Approved without change 04/24/1986
Retrieve Notice of Action (NOA) 03/17/1986
  Inventory as of this Action Requested Previously Approved
04/30/1989 04/30/1989 06/30/1986
104 0 165
408 0 825
0 0 0

STATE AUTHORITIES MUST SET STANDARDS, LICENSE FACILITIES, ENFORCE AND MAINTA STANDARDS FOR MEDICAL AND NONMEDICAL FACILITIES WHERE SSI RECIPIENTS RESIDE. COPIES OF STANDARDS AND OTHER RELEVANT DATA MUST BE MADE AVAILABLE TO INTERESTED INDIVIDUALS AND AN ANNUAL CERTIFICATION MUST B SENT TO THE SECRETARY.

None
None


No

1
IC Title Form No. Form Name
STANDARD SETTING REQUIREMENTS FOR MEDICAL AND NONMEDICAL FACILITIES WHERE SSI RECIPIENTS RESIDE

  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 104 165 0 0 -61 0
Annual Time Burden (Hours) 408 825 0 0 -417 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.
03/17/1986


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