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Home Health Advance Beneficiary Notices of Liability and Supporting Regulations in 42 CFR 4984.10(a)
Home Health Advance Beneficiary Notices of Liability and Supporting Regulations in 42 CFR 4984.10(a)
OMB: 0938-0781
IC ID: 8541
OMB.report
HHS/CMS
OMB 0938-0781
ICR 200011-0938-004
IC 8541
( )
⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 0938-0781 can be found here:
2009-08-19 - Revision of a currently approved collection
2006-06-21 - Revision of a currently approved collection
Documents and Forms
Document Name
Document Type
no available documents/forms check other ICs listed under this ICR
Information Collection (IC) Details
View Information Collection (IC)
IC Title:
Home Health Advance Beneficiary Notices of Liability and Supporting Regulations in 42 CFR 4984.10(a)
Agency IC Tracking Number:
Is this a Common Form?
No
IC Status:
Migrated
Obligation to Respond:
Mandatory
CFR Citation:
Information Collection Instruments:
Document Type
Form No.
Form Name
Instrument File
URL
Available Electronically?
Can Be Submitted Electronically?
Electronic Capability
Form
HCFA-R-296
No
No
Federal Enterprise Architecture Business Reference Module
Line of Business:
Subfunction:
Privacy Act System of Records
Title:
FR Citation:
Number of Respondents:
8,200
Number of Respondents for Small Entity:
0
Affected Public:
Private Sector
Private Sector:
Not-for-profit institutions
Percentage of Respondents Reporting Electronically:
0 %
Approved
Program Change Due to New Statute
Program Change Due to Agency Discretion
Change Due to Adjustment in Agency Estimate
Change Due to Potential Violation of the PRA
Previously Approved
Annual Number of Responses for this IC
108,000
0
0
-252,000
0
360,000
Annual IC Time Burden (Hours)
30,000
0
0
-30,000
0
60,000
Annual IC Cost Burden (Dollars)
0
0
0
0
0
0
Documents for IC
Title
Document
Date Uploaded
Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.