Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations -- 42 CFR 422.350-.390

ICR 199807-0938-011

OMB: 0938-0733

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0733 199807-0938-011
Historical Active
HHS/CMS
Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations -- 42 CFR 422.350-.390
New collection (Request for a new OMB Control Number)   No
Emergency 07/24/1998
Approved without change 09/18/1998
Retrieve Notice of Action (NOA) 07/22/1998
  Inventory as of this Action Requested Previously Approved
01/31/1999 01/31/1999
250 0 0
8,100 0 0
0 0 0

Establishes reporting requirements for federally waived PSOs.

None
None


No

1
IC Title Form No. Form Name
Waiver Requirements and Solvency Standards for Provider-Sponsored Organizations -- 42 CFR 422.350-.390 HCFA-R-248

  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 250 0 0 250 0 0
Annual Time Burden (Hours) 8,100 0 0 8,100 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.
07/22/1998


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