INFORMATION COLLECTION REQUIREMENTS IN HSQ-109-F, PEER REVIEW ORGANIZATION SANCTIONS, 42 CFR 474.36(B), 474.38(A), (B), & (C), 474.39(A) & (B), AND 474.40(A) AND (B)

ICR 198807-0938-007

OMB: 0938-0444

Federal Form Document

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ICR Details
0938-0444 198807-0938-007
Historical Active 198507-0938-003
HHS/CMS
INFORMATION COLLECTION REQUIREMENTS IN HSQ-109-F, PEER REVIEW ORGANIZATION SANCTIONS, 42 CFR 474.36(B), 474.38(A), (B), & (C), 474.39(A) & (B), AND 474.40(A) AND (B)
Extension without change of a currently approved collection   No
Regular
Approved without change 11/07/1988
Retrieve Notice of Action (NOA) 07/19/1988
  Inventory as of this Action Requested Previously Approved
10/31/1989 10/31/1989 08/31/1988
1,080 0 1,080
30,672 0 30,672
0 0 0

IT IS THE RESPONSIBILITY OF THE PRO TO IDENTIFY SITUATIONS WHERE OBLIGATIONS ARE VIOLATED AND AFFORD T PRACTITIONER OR OTHER PERSON NOTICE OF THE VIOLATION AND THE OPPORTUNI TO DISCUSS THEM. THESE REQUIREMENTS DESCRIBE THE NOTICES TO BE SENT A THE REPORT THAT IS SENT TO THE OIG IF VIOLATIONS ARE NOT RESOLVED. TH REPORT TO THE OIG ASSISTS THE OIG IN MAKING ITS FINAL DECISION.

None
None


No

  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 1,080 1,080 0 0 0 0
Annual Time Burden (Hours) 30,672 30,672 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.
07/19/1988


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