Administration Demonstration Initiatives Proposal Solicitation Package

ICR 200205-0938-005

OMB: 0938-0868

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0868 200205-0938-005
Historical Active
HHS/CMS
Administration Demonstration Initiatives Proposal Solicitation Package
New collection (Request for a new OMB Control Number)   No
Emergency 05/15/2002
Approved without change 05/09/2002
Retrieve Notice of Action (NOA) 05/03/2002
  Inventory as of this Action Requested Previously Approved
10/31/2002 10/31/2002
20 0 0
800 0 0
0 0 0

Under this demonstration, we will be testing alternatives to the current rules for payment to M+C organizations in section 1853 of the Social Security Act (the Act).

None
None


No

1
IC Title Form No. Form Name
Administration Demonstration Initiatives Proposal Solicitation Package CMS-10063

  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 20 0 0 20 0 0
Annual Time Burden (Hours) 800 0 0 800 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.
05/03/2002


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