MEDICAID MANAGEMENT INFORMATION SYSTEM: SYSTEM REQUIREMENTS (BPO-33)

ICR 198811-0938-005

OMB: 0938-0458

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
0938-0458 198811-0938-005
Historical Active 198510-0938-008
HHS/CMS
MEDICAID MANAGEMENT INFORMATION SYSTEM: SYSTEM REQUIREMENTS (BPO-33)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 02/21/1989
Retrieve Notice of Action (NOA) 11/17/1988
  Inventory as of this Action Requested Previously Approved
03/31/1991 03/31/1991
58,000,000 0 0
6,236,000 0 0
0 0 0

THE IMPLEMENTATIO OF THESE HOSPITAL BILLING REQUIREMENTS WILL ENABLE THE MEDICAID PROGRA TO DEVELOP MEANINGFUL DATA FOR USE BY THE FEDERAL GOVERNMENT IN ORDER TO REDUCE MEDICAL CARE COSTS. THIS REQUIRED DATA IS NEEDED TO MAKE TH STATES' MANAGEMENT INFORMATION SYSTEMS MORE COMPATIBLE WITH SYSTEMS USED TO ADMINISTER THE MEDICARE PROGRAM, WHICH WILL FURTHER REDUCE COS AND BURDEN ON THE PROVIDER COMMUNITY.

None
None


No

1
IC Title Form No. Form Name
MEDICAID MANAGEMENT INFORMATION SYSTEM: SYSTEM REQUIREMENTS (BPO-33) HCFA-R-59

  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 58,000,000 0 0 14,437,684 43,562,316 0
Annual Time Burden (Hours) 6,236,000 0 0 1,552,300 4,683,700 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.
11/17/1988


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