Medicare and Medicaid Programs; Reporting OASIS Data as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11 and 484.20

ICR 200302-0938-009

OMB: 0938-0761

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0761 200302-0938-009
Historical Active 200212-0938-005
HHS/CMS
Medicare and Medicaid Programs; Reporting OASIS Data as Part of the CoPs for HHAs and Supporting Regulations in 42 CFR 484.11 and 484.20
Extension without change of a currently approved collection   No
Regular
Approved without change 06/12/2003
Retrieve Notice of Action (NOA) 02/27/2003
This information collection request is approved for a period of 2 years. CMS will continue to evaluate the effectiveness of this collection, given the changes made in the previous submission and at the next submission of this collection, will report to OMB on any implementation issues that have arisen.
  Inventory as of this Action Requested Previously Approved
07/31/2005 07/31/2005 07/31/2003
85,200 0 85,200
838,408 0 838,408
17,800,000 0 17,800,000

HHAs are required to report data from the OASIS as a condition of participation. Specifically, the above named regulations sections provide guidelines for HHAs for the electronic transmission of the OASIS data as well as responsibilities of the State agency or OASIS contractor in collecting and transmitting this information to HCFA. These requirements are necessary to achieve broad-based, measurable improvement in the quality of care furnished through Federal programs, and to establish a prospective payment system for HHAs.

None
None


No

  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 85,200 85,200 0 0 0 0
Annual Time Burden (Hours) 838,408 838,408 0 0 0 0
Annual Cost Burden (Dollars) 17,800,000 17,800,000 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.
02/27/2003


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