Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)

ICR 202009-0938-008

OMB: 0938-0449

Federal Form Document

ICR Details
0938-0449 202009-0938-008
Active 201702-0938-023
HHS/CMS CMCS
Home & Community Based Waiver Requests and Supporting Regulations; 42 CFR 440.180 and 441.300 - 441.310 (CMS-8003)
Reinstatement with change of a previously approved collection   No
Regular
Approved without change 12/23/2020
Retrieve Notice of Action (NOA) 09/25/2020
  Inventory as of this Action Requested Previously Approved
12/31/2023 36 Months From Approved
71 0 0
6,005 0 0
0 0 0

Under a Secretarial waiver, States may offer a wide array of home and community-based services to individuals who would otherwise require institutionalization. States requesting a waiver must provide certain assurances, documentation and cost & utilization estimates which are reviewed, approved and maintained for the purpose of identifying/verifying States' compliance with such statutory and regulatory requirements.

PL: Pub.L. 97 - 35 2176 Name of Law: Omnibus Budget Reconciliation Act (OBRA) of 1981
  
None

Not associated with rulemaking

  85 FR 28010 05/12/2020
85 FR 60169 09/24/2020
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 71 0 0 0 0 71
Annual Time Burden (Hours) 6,005 0 0 0 0 6,005
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No

$515,428
No
    No
    No
No
No
No
No
Mitch Bryman 410 786-5258 [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.
09/25/2020


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