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