STUDY OF ACCURACY AND COMPLETENESS OF THE MEDICARE INPATIENT CLAIMS DATA FILE

ICR 199207-0935-002

OMB: 0935-0079

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
0935-0079 199207-0935-002
Historical Active
HHS/AHRQ
STUDY OF ACCURACY AND COMPLETENESS OF THE MEDICARE INPATIENT CLAIMS DATA FILE
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 10/26/1992
Retrieve Notice of Action (NOA) 07/29/1992
  Inventory as of this Action Requested Previously Approved
08/31/1993 08/31/1993
500 0 0
8,250 0 0
0 0 0

THE PURPOSE OF THIS PROJECT IS TO COMPILE A NATIONALLY REPRESENTATIVE SAMPLE OF MEDICAL RECORDS FOR HOSPITALIZED MEDICARE PATIENTS DURING FY 1991. THESE MEDICAL RECORDS WILL SUBSEQUENTLY BE ABSTRACTED, CODED, A USED TO EVALUATE THE ACCURACY AND COMPLETENESS WITH WHICH MEDICARE CLAIMS DATA SUMMARIZE THE MEDICAL RECORD.

None
None


No

1
IC Title Form No. Form Name
STUDY OF ACCURACY AND COMPLETENESS OF THE MEDICARE INPATIENT CLAIMS DATA FILE

  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 500 0 0 500 0 0
Annual Time Burden (Hours) 8,250 0 0 8,250 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.
07/29/1992


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