Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24

ICR 200711-0938-012

OMB: 0938-0037

Federal Form Document

ICR Details
0938-0037 200711-0938-012
Historical Active 200411-0938-007
HHS/CMS
Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24
Extension without change of a currently approved collection   No
Regular
Approved without change 04/09/2008
Retrieve Notice of Action (NOA) 11/21/2007
  Inventory as of this Action Requested Previously Approved
04/30/2011 36 Months From Approved 04/30/2008
623 0 618
62,300 0 61,800
0 0 0

Regulations in 42 CFR 413.20, 413.24, and 413.106

Statute at Large: 18 Stat. 1815 Name of Statute: null
   Statute at Large: 18 Stat. 1833 Name of Statute: null
   Statute at Large: 18 Stat. 1861 Name of Statute: null
   US Code: 42 USC 1393g Name of Law: null
  
None

Not associated with rulemaking

  72 FR 45051 08/10/2007
72 FR 60851 10/26/2007
No

1
IC Title Form No. Form Name
Outpatient Rehabilitation Cost Report and Supporting Regulations in 42 CFR 413.20 and 413.24 CMS-2088-92 Cost Report

  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 623 618 0 0 5 0
Annual Time Burden (Hours) 62,300 61,800 0 0 500 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$520,550
No
No
Uncollected
Uncollected
Uncollected
Uncollected
Bonnie Harkless 4107865666

  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.
11/21/2007


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