CHARITABLE FACILITY COMPLIANCE ALTERNATIVE -- 42 CFR PART 124, SUBPART F (PROPOSED RULE)

ICR 199311-0915-001

OMB: 0915-0171

Federal Form Document

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Status
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ICR Details
0915-0171 199311-0915-001
Historical Active
HHS/HSA
CHARITABLE FACILITY COMPLIANCE ALTERNATIVE -- 42 CFR PART 124, SUBPART F (PROPOSED RULE)
New collection (Request for a new OMB Control Number)   No
Regular
Approved without change 01/04/1994
Retrieve Notice of Action (NOA) 11/15/1993
  Inventory as of this Action Requested Previously Approved
04/30/1996 04/30/1996
1 0 0
1 0 0
0 0 0

HEALTH CARE FACILITIES, UNCOMPENSATED SERVICES, CHARITABLE FACILITIES THIS PROPOSED RULE ESTABLISHES QUALIFYING CRITERIA AND ALTERNATIVE REQUIREMENTS FOR CERTAIN NONPROFIT FACILITIES WHICH RECEIVED FUNDS UND A REASONABLE VOLUME OF UNCOMPENSATED SERVICES TO PERSONS UNABLE TO PAY

None
None


No

1
IC Title Form No. Form Name
CHARITABLE FACILITY COMPLIANCE ALTERNATIVE -- 42 CFR PART 124, SUBPART F (PROPOSED RULE)

  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 0 0 1 0 0
Annual Time Burden (Hours) 1 0 0 1 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.
11/15/1993


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