OFFICE OF MANAGEMENT AND BUDGET
CLEARANCE PACKAGE
October 31, 2007
Supporting Statement Part A
BACKGROUND
JUSTIFICATION
A.1 Need and Legal Basis
A.2 Information Users
A.3 Use of Information Technology
A.4 Duplication of Efforts
A.5 Small Businesses
A.6 Less Frequent Collection
A.7 Special Circumstances
A.8 Federal Register/Outside Consultation
A.9 Payment/Gifts to Respondents
A.10 Confidentiality
A.11 Sensitive Questions
A.12 Burden Estimates (Hours & Wages)
A.13 Capital Costs
A.14 Cost to Federal Government
A.15 Changes to Burden
A.16 Publication/Tabulation Dates
A.17 Expiration Date
A.18 Certification Statement
Appendix A Master List of CARE Items
Appendix B CARE Instrument
Appendix C Deficit Reduction Act Section 5008
Supporting Statement Part B
COLLECTION OF INFORMATION EMPLOYING STATISTICAL METHODS
B.1 Respondent Universe
B.2 Procedures for the Collection of Information
B.3 Maximizing Response Rates
B.4 Tests of Procedures
B.5 Contacts
Paperwork Reduction Act Submission Worksheet Part I: Information Collection Request
Paperwork Reduction Act Submission Worksheet Part II: Information Collection Detail-Acute hospital data collection
Paperwork Reduction Act Submission Worksheet Part II: Information Collection Detail-Home health agency data collection
Paperwork Reduction Act Submission Worksheet Part II: Information Collection Detail-Inpatient rehabilitation facility data collection
Paperwork Reduction Act Submission Worksheet Part II: Information Collection Detail-Skilled nursing facility data collection
Paperwork Reduction Act Submission Worksheet Part II: Information Collection Detail-Long term care hospital data collection
Paperwork Reduction Act Submission Worksheet Part II: Information Collection Detail-Additional volunteer providers data collection
Responses to Public Comments
CARE Tool Explanation of Changes Spreadsheet
| File Type | application/msword |
| File Title | OFFICE OF MANAGEMENT AND BUDGET |
| Author | Melissa Morley |
| Last Modified By | CMS |
| File Modified | 2007-11-15 |
| File Created | 2007-11-15 |