Best Practices in Coordinated Care

ICR 199811-0938-002

OMB: 0938-0750

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
8455 Migrated
ICR Details
0938-0750 199811-0938-002
Historical Active
HHS/CMS
Best Practices in Coordinated Care
New collection (Request for a new OMB Control Number)   No
Emergency 11/20/1998
Approved without change 01/05/1999
Retrieve Notice of Action (NOA) 11/06/1998
  Inventory as of this Action Requested Previously Approved
06/30/1999 06/30/1999
1,000 0 0
10,000 0 0
0 0 0

The information collected will be used to inform HCFA's review of best practices in the private sector for coordinating care. From the review, HCFA will design and launch a demonstration to test effective models of case management for certain Medicare beneficiaries. Respondents will include hospitals, physicians, case managers, physician groups, home health agencies, managed care organizations, care management firms, State agencies, health clinics, and other providers of case management services.

None
None


No

1
IC Title Form No. Form Name
Best Practices in Coordinated Care HCFA-R-265

  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 1,000 0 0 1,000 0 0
Annual Time Burden (Hours) 10,000 0 0 10,000 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.
11/06/1998


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