Peer Review Organization Contracts: Solicitation of Statements of Interest from In-State Organizations, General Notice--CFR 475

ICR 200106-0938-004

OMB: 0938-0526

Federal Form Document

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Document
Name
Status
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ICR Details
0938-0526 200106-0938-004
Historical Active 199804-0938-007
HHS/CMS
Peer Review Organization Contracts: Solicitation of Statements of Interest from In-State Organizations, General Notice--CFR 475
Extension without change of a currently approved collection   No
Regular
Approved without change 08/06/2001
Retrieve Notice of Action (NOA) 06/07/2001
  Inventory as of this Action Requested Previously Approved
08/31/2004 08/31/2004 08/31/2001
53 0 53
1 0 1
0 0 0

This notice is a solicitation of sources sought for the procurement of medical review services. The information is required for potential contractors to demonstrate that they meet the statutory requirements as Peer Review Organizations. Compliance with these requirements is voluntary.

None
None


No

1
IC Title Form No. Form Name
Peer Review Organization Contracts: Solicitation of Statements of Interest from In-State Organizations, General Notice--CFR 475 HCFA-R-118

  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 53 53 0 0 0 0
Annual Time Burden (Hours) 1 1 0 0 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
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.
06/07/2001


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