Ambulatory Surgical Centers Conditions of Coverage

ICR 201309-0938-020

OMB: 0938-1071

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2013-09-06
ICR Details
0938-1071 201309-0938-020
Historical Active 200906-0938-008
HHS/CMS 20480
Ambulatory Surgical Centers Conditions of Coverage
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 04/21/2014
Retrieve Notice of Action (NOA) 09/18/2013
  Inventory as of this Action Requested Previously Approved
04/30/2017 36 Months From Approved
21,200 0 0
206,700 0 0
0 0 0

The information collection requirements, as discussed in the supporting statement, are needed to implement the Medicare and Medicaid CfCs for 5,100 ambulatory surgical centers.

PL: Pub.L. 96 - 499 934 Name of Law: Outpatient Surgery
  
None

Not associated with rulemaking

  78 FR 32659 05/31/2013
78 FR 48686 08/09/2013
No

  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 21,200 0 0 800 0 20,400
Annual Time Burden (Hours) 206,700 0 0 7,800 0 198,900
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
Changes to the burden are a reflection of the increase in the number of Medicare certified ASCs at this time compmared to the previous collection and the changes in currenty average hourly rate fro medical professionals used in the calculations.

$0
No
No
No
No
No
Uncollected
Denise King 410 786-1013 [email protected]

  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.
09/18/2013


© 2024 OMB.report | Privacy Policy