Medicare Program: Procedures for Making National Coverage Decisions

ICR 200301-0938-006

OMB: 0938-0776

Federal Form Document

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Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
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ICR Details
0938-0776 200301-0938-006
Historical Active 199907-0938-005
HHS/CMS
Medicare Program: Procedures for Making National Coverage Decisions
Extension without change of a currently approved collection   No
Regular
Approved with change 03/10/2003
Retrieve Notice of Action (NOA) 01/06/2003
This information collection request is approved consistent with CMS' recent notice regarding its procedures for making National Coverage Decisions. However, the clearance period is abbreviated in order to ensure that the agency takes into account any changes that may be made in its final rule implementing the provisions of BIPA that address National Coverage Decisions.
  Inventory as of this Action Requested Previously Approved
09/30/2004 09/30/2004 03/31/2003
200 0 200
8,000 0 8,000
0 0 0

These information collection equirements provide the process CMS will use to make a national coverage decision for a specific item or service under sections 1862 and 1871 of the Social Security Act. This will streamline our decision making process and will increase the opportunities for public participation in making national coverage decisions.

None
None


No

1
IC Title Form No. Form Name
Medicare Program: Procedures for Making National Coverage Decisions CMS-R-0290

  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 200 200 0 0 0 0
Annual Time Burden (Hours) 8,000 8,000 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.
01/06/2003


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