(CMS-10539) Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA)

ICR 201701-0938-006

OMB: 0938-1299

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2017-01-23
IC Document Collections
ICR Details
0938-1299 201701-0938-006
Historical Inactive 201507-0938-005
HHS/CMS
(CMS-10539) Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies (HHA)
New collection (Request for a new OMB Control Number)   No
Regular
Withdrawn 05/12/2017
Retrieve Notice of Action (NOA) 01/25/2017
  Inventory as of this Action Requested Previously Approved
36 Months From Approved
0 0 0
0 0 0
0 0 0

Home health agencies are required to maintain certain documentation within their own agency records that demonstrates compliance with specific Conditions of Participation for the Medicare program. This documentation is maintained on-site for use in the home health agency survey process.

PL: Pub.L. 101 - 239 6005(b) Name of Law: Omnibus Reconciliation Act of 1989
   US Code: 42 USC 1395X Name of Law: Social Security Act
  
None

0938-AG81 Final or interim final rulemaking 82 FR 4504 01/13/2017

No

Yes
Changing Regulations
No
This is a new information collection that is necessary due to the complete reorganization and revision of the CoPs.

$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.
01/25/2017


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