Indirect Medical Education (IME) and Support Regulations -- 42 CFR 412.105

ICR 199710-0938-004

OMB: 0938-0456

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
0938-0456 199710-0938-004
Historical Active 199409-0938-004
HHS/CMS
Indirect Medical Education (IME) and Support Regulations -- 42 CFR 412.105
Extension without change of a currently approved collection   No
Regular
Approved without change 11/18/1997
Retrieve Notice of Action (NOA) 10/09/1997
  Inventory as of this Action Requested Previously Approved
11/30/2000 11/30/2000 12/31/1997
1,300 0 1,250
3,250 0 3,750
0 0 0

The collection of information on interns and residents (IR) is needed to properly calculate Medicare program payments to hospitals that incur indirect costs for medical education. The Agency's Intern and Resident Information System uses the information for producing automated reports of duplicate full-time equivalent IRs for IME. The reports provide contractors with information to ensure that hospitals are properly reimbursed for IME and help eliminate duplicate reporting of IR counts which inflate payments. The collection of this information affects 1,300 hospitals which participate....

None
None


No

1
IC Title Form No. Form Name
Indirect Medical Education (IME) and Support Regulations -- 42 CFR 412.105 HCFA-R-64

  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 1,300 1,250 0 0 50 0
Annual Time Burden (Hours) 3,250 3,750 0 0 -500 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.
10/09/1997


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