Collection of Data on Physician Encounters from Medicare + Choice Organizations

ICR 200210-0938-010

OMB: 0938-0805

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
ICR Details
0938-0805 200210-0938-010
Historical Active 200101-0938-003
HHS/CMS
Collection of Data on Physician Encounters from Medicare + Choice Organizations
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 10/03/2002
Retrieve Notice of Action (NOA) 10/03/2002
  Inventory as of this Action Requested Previously Approved
10/31/2002 10/31/2002 05/31/2003
75,600,000 0 75,600,000
938,700 0 938,700
0 0 0

HCFA requires physiican encounter data for Medicare + Choice organizations to develop and implement a risk adjustment payment methodology as required by the Balanced Budget Act of 1997.

None
None


No

1
IC Title Form No. Form Name
Collection of Data on Physician Encounters from Medicare + Choice Organizations HCFA-R-0315

  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 75,600,000 75,600,000 0 0 0 0
Annual Time Burden (Hours) 938,700 938,700 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.
10/03/2002


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