(CMS-10282) Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations

ICR 201911-0938-004

OMB: 0938-1091

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2019-11-20
IC Document Collections
ICR Details
0938-1091 201911-0938-004
Active 201810-0938-009
HHS/CMS 20940
(CMS-10282) Comprehensive Outpatient Rehabilitation Facilites (CORFs) Conditions of Participation (CoP) and Supporting Regulations
Revision of a currently approved collection   No
Regular
Approved without change 11/29/2019
Retrieve Notice of Action (NOA) 11/20/2019
  Inventory as of this Action Requested Previously Approved
11/30/2022 36 Months From Approved 08/31/2020
188 0 235
1,504 0 3,055
0 0 0

The purpose of this package is to request Office of Management and Budget (OMB) approval of the collection of information requirements for the conditions of participation (CoPs) that comprehensive outpatient rehabilitation facilities (CORFS) must meet to participate in the Medicare Program.

US Code: 42 USC 1395x(cc) Name of Law: Comprehensive Outpatient Rehabilitation Facility (CORFs) Services
  
None

0938-AT23 Final or interim final rulemaking 84 FR 51732 09/30/2019

No

1
IC Title Form No. Form Name
42 CFR 485.66(b)(1), (2), and 3(i),(ii) Untilization review plan

  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 188 235 0 -47 0 0
Annual Time Burden (Hours) 1,504 3,055 0 -1,551 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes
Miscellaneous Actions
These burden estimates are unchanged from what was estimated for the proposed rule, which was an annual burden of 1,504 hours.

$0
No
    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.
11/20/2019


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