Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations

Forms and Documents

Forms and supporting documents for this ICR

Document	Type	Status	Availability
CMS-10282.FINAL Supporting Statement Part A.doc	Supporting Statement A	Uploaded 2010-03-17	Available

IC Document Collections

Information collection document groups

IC ID	Collection	Type	Status	Form
192450	42 CFR 485.66(b)		New
192449	42 CFR 485.64(b)(2)		New
192448	42 CFR 485.64(b)(1)		New
192447	42 CFR 485.64(a)		New
192446	42 CFR 485.58(c)		New
192445	42 CFR 485.56(e)		New
192444	42 CFR 485.56(d)		New
192443	42 CFR 485.56(c)		New
192442	42 CFR 485.56(b)		New
192441	42 CFR 485.54(a) and (b)		New

ICR Details

OMB Control No: 0938-1091	ICR Reference No: 201004-0938-002
Status: Historical Active	Previous ICR Reference No:
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations
Type of Information Collection: New collection (Request for a new OMB Control Number)	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 05/18/2010
	Date Received in OIRA: 04/05/2010
Terms of Clearance:

table that charts list comparision

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	05/31/2013	36 Months From Approved
Responses	4,460	0	0
Time Burden (Hours)	30,105	0	0
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection package is a request for a new information collection package with requirements for existing regulations at 485.50 - 485.74 that have never been reviewed and approved by OMB. This document represents the inclusion of all current and final CORF CoPs currently effective. The information collection requirements described herein are needed to implement the Medicare and Medicaid CoPs. Thus, this package reflects the paperwork burden for a total of 446 CORFs.

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Authorizing Statute(s): US Code: 42 USC 1395x(cc) Name of Law: Comprehensive Outpatient Rehabilitation Facility (CORFs) Services
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AP40	Final or interim final rulemaking	74 FR 61738	11/25/2009

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Federal Register Notices & Comments
60-day Notice:	Federal Register Citation:	Citation Date:
	74 FR 61738	11/25/2009
30-day Notice:	Federal Register Citation:	Citation Date:
	75 FR 11890	03/12/2010
Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 10

table that charts list of burden

IC Title	Form No.	Form Name
42 CFR 485.66(b)
42 CFR 485.54(a) and (b)
42 CFR 485.56(b)
42 CFR 485.56(c)
42 CFR 485.56(d)
42 CFR 485.56(e)
42 CFR 485.58(c)
42 CFR 485.64(a)
42 CFR 485.64(b)(1)
42 CFR 485.64(b)(2)

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ICR Summary of Burden

table that charts list of burden

	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	4,460	0	0	4,460	0	0
Annual Time Burden (Hours)	30,105	0	0	30,105	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: Yes

Burden Increase Due to: Changing Regulations

Burden decreases because of Program Change due to Agency Discretion: No

Burden Reduction Due to:

Short Statement: This is a new information collection. This information collection package serves to report the burden estimates associated with the current CORF conditions of participation (CoPs) and the newly revised regulatory definition for respiratory therapists in this package. The information collection requirements described herein are needed to implement the Medicare and Medicaid conditions of participation (CoPs) for 446 CORFs.

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? No

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 04/05/2010

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