Hospital Conditions of Participation (COP) and Supporting Regulations in 42 CFR, Sections 482.12, 482.13, 482.21, 482.22, 482.27, 482.30, 482.41, 482.43, 482.45, 482.53.....

Forms and Documents

Document Name	Status
CMS-R-48_Supporting_Statement Part A (2-11-11).doc Supporting Statement A	2011-02-11

IC Document Collections

IC ID	Document Title	Status
7965	42CFR482.12(d)(1-2) and (d)(4)	Modified
195095	42 CFR 482.13(h)	New
183648	42CFR482.45(b)(3)	Modified
183647	42CFR482.45(a)(1)	Modified
183646	42CFR482.45(a)(1)	Modified
183645	42CFR482.43	Modified
183644	42CFR482.27(c)	Modified
183643	42CFR482.27(b)(2)	Modified
183642	42CFR482.21(a)(b)(d)	Modified
183641	42CFR482.13(g)	Modified
183640	42CFR482.13(f)	Modified
183639	42CFR482.13(a)(1-2)	Modified
183638	42CFR482.12(f)(2)	Modified
183637	42CFR482.12(e)(2)	Modified

ICR Details

OMB Control No: 0938-0328	ICR Reference No: 201011-0938-003
Status: Historical Active	Previous ICR Reference No: 200801-0938-010
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Hospital Conditions of Participation (COP) and Supporting Regulations in 42 CFR, Sections 482.12, 482.13, 482.21, 482.22, 482.27, 482.30, 482.41, 482.43, 482.45, 482.53.....
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved with change	Conclusion Date: 03/14/2011
	Date Received in OIRA: 11/02/2010
Terms of Clearance:

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	03/31/2014	36 Months From Approved	06/30/2011
Responses	41,367,340	0	41,362,480
Time Burden (Hours)	9,147,427	0	9,146,212
Cost Burden (Dollars)	0	0	0

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Abstract: This information collection package is a request for an revision of the currently approved information collection requirements under CMS-R-48 (0938-0328). We have updated the burden estimates associated with the current hospital conditions of participation (CoPs) to include informaiton collection requirement contained in 42 CFR 482.13(h).

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Authorizing Statute(s): US Code: 42 USC 1320b-8 Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
   US Code: 42 USC 1395f(a)(6) Name of Law: Conditions of and Limitations on Payment for Services
   US Code: 42 USC 1395x Name of Law: Definitions of Services, Institutions, Etc.
   US Code: 42 USC 1302 Name of Law: Rules and Regulations
   US Code: 42 USC 1395aa Name of Law: Use of State agencies to determine compliance by providers of services with CoP's
  

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:
0938-AQ06	Final or interim final rulemaking	75 FR 70831	11/19/2010

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 14

IC Title	Form No.	Form Name
42CFR482.13(f)
42CFR482.12(f)(2)
42CFR482.13(a)(1-2)
42CFR482.13(g)
42CFR482.21(a)(b)(d)
42CFR482.27(b)(2)
42CFR482.27(c)
42CFR482.12(d)(1-2) and (d)(4)
42CFR482.12(e)(2)
42CFR482.43
42CFR482.45(a)(1)
42CFR482.45(a)(1)
42CFR482.45(b)(3)
42 CFR 482.13(h)

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ICR Summary 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	41,367,340	41,362,480	0	4,860	0	0
Annual Time Burden (Hours)	9,147,427	9,146,212	0	1,215	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: Miscellaneous Actions

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

Burden Reduction Due to:

Short Statement: We have updated the burden estimates associated with the current hospital conditions of participation (CoPs) to include informaiton collection requirement contained in 42 CFR 482.13(h).

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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]? No

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? No

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: 11/02/2010

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