COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 485.56, 485.58, 485.60, 485.64, 485.66, AND 405.262

ICR 198902-0938-001

OMB: 0938-0538

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0538 198902-0938-001
Historical Active
HHS/CMS
COMPREHENSIVE OUTPATIENT REHABILITATION FACILITY INFORMATION COLLECTION REQUIREMENTS IN 42 CFR 485.56, 485.58, 485.60, 485.64, 485.66, AND 405.262
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 02/21/1989
Retrieve Notice of Action (NOA) 02/10/1989
  Inventory as of this Action Requested Previously Approved
02/28/1991 02/28/1991
162 0 0
77,014 0 0
0 0 0

IN ORDER TO PARTICIPATE IN THE MEDICARE/MEDICAID PROGRAM AS A CORF PROVIDERS MUST MEET FEDERAL CONDITIONS FOR PARTICIPATION.

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 162 0 0 162 0 0
Annual Time Burden (Hours) 77,014 0 0 77,014 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.
02/10/1989


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