MEDICARE AND MEDICAID - INFORMATION COLLECTION REQUIREMENTS IN SUBPART A, 42 CFR 491.9 AND 491.10, CONDITIONS OF PARTICIPATION FOR RURAL HEALTH CLINICS
ICR 198904-0938-003
OMB: 0938-0334
Federal Form Document
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0334 can be found here:
MEDICARE AND MEDICAID -
INFORMATION COLLECTION REQUIREMENTS IN SUBPART A, 42 CFR 491.9 AND
491.10, CONDITIONS OF PARTICIPATION FOR RURAL HEALTH CLINICS
THESE INFORMATION COLLECTION
REQUIREMENTS ARE NEEDED TO DETERMINE THE RURAL HEALTH CLINIC'S
COMPLIANCE WITH HEALTH AND SAFETY PROVISIONS. THE RESPONDENTS ARE
RURAL HEALTH CLINICS. THESE INFORMATION COLLECTION REQUIREMENTS
APPLY TO THE MEDICARE AND MEDICAID PROGRAMS.
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.