AMBULATORY SURGICAL CENTER CONDITIONS FOR COVERAGE -- 42 CFR 416.43 AND 416.47

ICR 199410-0938-007

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 199410-0938-007
Historical Active 199105-0938-005
HHS/CMS
AMBULATORY SURGICAL CENTER CONDITIONS FOR COVERAGE -- 42 CFR 416.43 AND 416.47
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 01/12/1995
Retrieve Notice of Action (NOA) 10/12/1994
  Inventory as of this Action Requested Previously Approved
01/31/1998 01/31/1998
1,664 0 0
16,640 0 0
0 0 0

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

None
None


No

1
IC Title Form No. Form Name
AMBULATORY SURGICAL CENTER CONDITIONS FOR COVERAGE -- 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 1,664 0 0 0 1,664 0
Annual Time Burden (Hours) 16,640 0 0 0 16,640 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.
10/12/1994


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