INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR 416.43 AND 416.47

ICR 199105-0938-005

OMB: 0938-0506

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
0938-0506 199105-0938-005
Historical Active 198703-0938-007
HHS/CMS
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR 416.43 AND 416.47
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 07/18/1991
Retrieve Notice of Action (NOA) 05/29/1991
  Inventory as of this Action Requested Previously Approved
07/31/1994 07/31/1994
1,276 0 0
12,760 0 0
0 0 0

THE REGULATION STANDARDS ARE DESIGNED TO ENSU THAT EACH ASC FACILITY HAS A PROPERLY TRAINED STAFF TO PROVIDE THE APPROPRIATE TYPE AND LEVEL OF CARE FOR THAT TYPE OF FACILITY.

None
None


No

1
IC Title Form No. Form Name
INFORMATION COLLECTION REQUIREMENTS CONTAINED IN 42 CFR 416.43 AND 416.47 HCFA-R-54

  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 1,276 0 0 1,276 0 0
Annual Time Burden (Hours) 12,760 0 0 12,760 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.
05/29/1991


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