Information Collection Requirements in the Hospice Care Regulation -- 42 CFR 418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, and 418.100

ICR 199911-0938-005

OMB: 0938-0302

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0302 199911-0938-005
Historical Active 199610-0938-006
HHS/CMS
Information Collection Requirements in the Hospice Care Regulation -- 42 CFR 418.22, 418.24, 418.28, 418.56, 418.58, 418.70, 418.74, 418.83, 418.96, and 418.100
Extension without change of a currently approved collection   No
Regular
Approved without change 01/11/2000
Retrieve Notice of Action (NOA) 11/09/1999
  Inventory as of this Action Requested Previously Approved
01/31/2003 01/31/2003 01/31/2000
2,275 0 1,927
6,042,834 0 3,977,762
0 0 0

Establishes standards for hospices who wish to participate in the Medicare program. The regulations establish standards for eligiblity, reimbursement standards and procedures, and delineate conditions that hospices must meet to be approved for participation in Medicare.

None
None


No

  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 2,275 1,927 0 348 0 0
Annual Time Burden (Hours) 6,042,834 3,977,762 0 2,065,072 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.
11/09/1999


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