Approved for use
through 7/99 under the condition that HCFA immediately incorporates
the disclosure statements required by the Paperwork Reduction Act
of 1995 and its implementing regulations. HCFA must provide these
forms to OMB for the public record. Also, OMB notes that this
approval action covers only the HCFA-381 and not the underlying
regulations. HCFA failed to explicitly reference the regulations in
this clearance package.
Inventory as of this Action
Requested
Previously Approved
09/30/1999
09/30/1999
2,300
0
0
575
0
0
0
0
0
The Medicare requires OPT/OSP
providers to be surveyed to determine compliance with Federal
requirements. All locations where OPT/OSP providers furnish
services must meet these requirements.
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.