Negative Case Action Review Process/Annual Report and Supporting Regulations -- 42 CFR 431.800

ICR 199712-0938-001

OMB: 0938-0300

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0300 199712-0938-001
Historical Active 199408-0938-005
HHS/CMS
Negative Case Action Review Process/Annual Report and Supporting Regulations -- 42 CFR 431.800
Reinstatement without change of a previously approved collection   No
Regular
Approved without change 02/10/1998
Retrieve Notice of Action (NOA) 12/15/1997
  Inventory as of this Action Requested Previously Approved
02/28/2001 02/28/2001
51 0 0
6,700 0 0
0 0 0

HCFA uses the NCA reviews to determine the accuracy of ineligible determinations focusing on the reason(s) for dual assistance. The results of NCA reviews are used by the States and the Federal Government to identify problem areas and plan corrective action initiatives to eliminate error causing situations.

None
None


No

1
IC Title Form No. Form Name
Negative Case Action Review Process/Annual Report and Supporting Regulations -- 42 CFR 431.800 HCFA-6401

  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 51 0 0 51 0 0
Annual Time Burden (Hours) 6,700 0 0 6,700 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
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.
12/15/1997


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