Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11

ICR 200402-0938-017

OMB: 0938-0792

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
ICR Details
0938-0792 200402-0938-017
Historical Active 200304-0938-009
HHS/CMS
Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11
No material or nonsubstantive change to a currently approved collection   No
Regular
Approved without change 02/10/2004
Retrieve Notice of Action (NOA) 02/10/2004
  Inventory as of this Action Requested Previously Approved
01/31/2007 01/31/2007 01/31/2007
3,528 0 3,528
3,435 0 3,663
0 0 0

This collection contains information requirements concerning requests for additional waivers of staffing requirements and documentation of quality assessment and performance improvement programs.

None
None


No

1
IC Title Form No. Form Name
Refinement of RHC Certification and QAPI and Supporting Regulations in 42 CFR 491.8 and 491.11 CMS-R-0242

  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 3,528 3,528 0 0 0 0
Annual Time Burden (Hours) 3,435 3,663 0 0 -228 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.
02/10/2004


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