DATA COLLECTION TO ESTABLISH A FEE SCHEDULE FOR THE SERVICES OF CRNAS

ICR 198711-0938-001

OMB: 0938-0517

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
0938-0517 198711-0938-001
Historical Active
HHS/CMS
DATA COLLECTION TO ESTABLISH A FEE SCHEDULE FOR THE SERVICES OF CRNAS
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/04/1988
Retrieve Notice of Action (NOA) 11/30/1987
  Inventory as of this Action Requested Previously Approved
06/30/1989 06/30/1989
2,600 0 0
1,300 0 0
0 0 0

SECTION 9320 OF OBRA REQUIRES HCFA TO DEVELOP A FEE SCHEDULE FOR THE SERVICES OF CRNAS FURNISHED ON OR AFTER JANUARY 1, 1989. THE LAW REQUIRES THAT THE FEE SCHEDULE BE DEVELOPED FROM COST REPORT DATA. THE COST REPORT DOES NOT CAPTURE INFORMATION O HOURS THAT CRNAS WORK. WE ARE COLLECTING THIS INFORMATION THROUGH A ONE-TIME SURVEY.

None
None


No

1
IC Title Form No. Form Name
DATA COLLECTION TO ESTABLISH A FEE SCHEDULE FOR THE SERVICES OF CRNAS HCFA-594

  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 2,600 0 0 2,600 0 0
Annual Time Burden (Hours) 1,300 0 0 1,300 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.
11/30/1987


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