METHODOLOGY FOR ESTIMATING WAIVER COSTS OF HCFA DEMONSTRATION PROJECTS

ICR 198803-0938-005

OMB: 0938-0408

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
0938-0408 198803-0938-005
Historical Active 198503-0938-001
HHS/CMS
METHODOLOGY FOR ESTIMATING WAIVER COSTS OF HCFA DEMONSTRATION PROJECTS
Extension without change of a currently approved collection   No
Regular
Approved without change 06/06/1988
Retrieve Notice of Action (NOA) 03/29/1988
  Inventory as of this Action Requested Previously Approved
06/30/1991 06/30/1991 03/31/1988
50 0 50
4,000 0 4,000
0 0 0

THE INFORMATION COLLECTED IS INTENDED TO PROVIDE GUIDANCE TO INDIVIDUALS RESPONSIBLE FOR THE PREPARATION OF WAIVER COST ESTIMATES FOR HCFA DEMONSTRATIONS. THESE ESTIMATES ARE USED IN ANALYSIS OF POTENTIAL COSTS AND BENEFITS ASSOCIATED WITH IMPLEMENTING A PROPOSED POLICY.

None
None


No

1
IC Title Form No. Form Name
METHODOLOGY FOR ESTIMATING WAIVER COSTS OF HCFA DEMONSTRATION PROJECTS HCFA 482

  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 50 50 0 0 0 0
Annual Time Burden (Hours) 4,000 4,000 0 0 0 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.
03/29/1988


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