This information collection is approved through 3-99 under the following condition: OMB commends HCFA for the agency's efforts to streamline the waiver application and renewal forms. Upon passage of the administration's health bill or similar effort to replace the waiver process with a State Plan amendment, HCFA eliminate this form and revise and submit the State Plan.
Inventory as of this Action
Requested
Previously Approved
03/31/1999
03/31/1999
04/30/1999
140
0
140
8,200
0
12,600
263,130,000
0
0
Under a Secretarial waiver, States may offer a wide array of home and community-based services to individuals who would otherwise require institutionalization. States requesting a waiver must provide certain assurances, documentation, and cost and utilization estimates, which are reviewed, approved, and maintained for the purpose of identifying/verifying States' compliance with such statutory and regulatory 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.
Home and Community-Based Services Waiver Requests