TASK 3.2 ACCESS TO AND ADEQUACY OF PARAPROFESSIONAL HOME CARE - HOME CARE QUALITY STUDIES

ICR 199109-0938-005

OMB: 0938-0592

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0592 199109-0938-005
Historical Active
HHS/CMS
TASK 3.2 ACCESS TO AND ADEQUACY OF PARAPROFESSIONAL HOME CARE - HOME CARE QUALITY STUDIES
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 12/26/1991
Retrieve Notice of Action (NOA) 09/30/1991
  Inventory as of this Action Requested Previously Approved
12/31/1994 12/31/1994
1,378 0 0
490 0 0
0 0 0

THE PROPOSED INFORMATION COLLECTION WILL DEVELOP AND TEST GUIDELINES FOR ASSESSING ACCESS TO AND THE ADEQUACY OF PARAPROFESSIONAL HOME CARE SERVICES FOR MEDICARE AND ELDERLY MEDICAID BENEFICIARIES.

None
None


No

1
IC Title Form No. Form Name
TASK 3.2 ACCESS TO AND ADEQUACY OF PARAPROFESSIONAL HOME CARE - HOME CARE QUALITY STUDIES HCFA-R-11

  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 1,378 0 0 1,378 0 0
Annual Time Burden (Hours) 490 0 0 490 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.
09/30/1991


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