SECTION 4005(D) OBRA: EXPANSION OF SWING BED PROGRAM

ICR 198906-0938-024

OMB: 0938-0528

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
166325
Migrated
ICR Details
0938-0528 198906-0938-024
Historical Active 198906-0938-010
HHS/CMS
SECTION 4005(D) OBRA: EXPANSION OF SWING BED PROGRAM
No material or nonsubstantive change to a currently approved collection   No
Emergency 06/28/1989
Approved with change 06/28/1989
Retrieve Notice of Action (NOA) 06/28/1989
  Inventory as of this Action Requested Previously Approved
07/31/1991 07/31/1991 07/31/1991
1,500 0 1,500
388 0 388
0 0 0

MEDICARE HOSPITALS WILL USE THIS FORM TO INITIATE THE PROCESS OF REQUESTING APPROVAL TO PROVIDE SWING-BED SERVICES.

None
None


No

1
IC Title Form No. Form Name
SECTION 4005(D) OBRA: EXPANSION OF SWING BED PROGRAM

  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 1,500 1,500 0 0 0 0
Annual Time Burden (Hours) 388 388 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.
06/28/1989


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