Information Collection Request
Medicare and Medicaid Programs: Conditions for Certification for Rural Health Clinics and Conditions for Coverage for FQHCs in 42 CFR Part 491 (CMS-R-38)
ICR 202408-0938-016 · OMB 0938-0334 · Received in OIRA
⚠️ Notice: This information collection may be outdated. More recent filings for OMB 0938-0334 can be found here:
Forms and Documents
| Document | Type | Status | Availability |
|---|---|---|---|
 CMS-R-38 - Supporting Statement A (CMS-1784-F version 8).docx |
Supporting Statement A | Uploaded 2024-08-16 | Repair queued |
IC Document Collections
| IC ID | Collection | Type | Status | Form |
|---|---|---|---|---|
| 7968 |  491.9(b) Patient Care Policies - New RHCs |
Removed | ||
| 45407 | 491.9(b) Patient Care Policies - Existing RHCs |
Removed | ||
| 270174 | Conduct biennial program evaluation (§ 491.11) |
New | ||
| 270173 | Initial development of program evaluation (§ 491.11) |
New | ||
| 270172 | Permitting MFT and MHCs to Furnish Services in RHC/FQHCs (§ 491.9(b)) |
New | ||
| 270171 | Biennial review of existing policies for every Medicare-certified clinic/center (§ 491.9(b)) |
New | ||
| 270170 | Initial policy development for a new clinic or center (§ 491.9(b)) |
New | ||
| 233902 | 491.11 - Program Evaluation - Existing FHQCs |
Removed | ||
| 233900 | 491.11 - Program Evaluation - New FQHCs |
Removed | ||
| 233897 | 491.9(b) - Patient Care Policies - Existing FQHCs |
Removed | ||
| 233896 | 491.9(b) Patient Care Policies - New FQHCs |
Removed | ||
| 190717 | 491.11 Program Evaluation - Existing RHCs |
Removed | ||
| 190716 | 491.11 - Program Evaluation - New RHCs |
Removed |
ICR Details
| Status | Received in OIRA |
|---|---|
| Agency/Subagency | HHS/CMS |
| OMB Control No | 0938-0334 |
| Type of Information Collection | Revision of a currently approved collection |
| Previous ICR Reference No | 202406-0938-005 |
| Agency Tracking No | CCSQ |
| Date Submitted to OIRA | 1969-12-31 |
| Requested Expiration Date | 1969-12-31 |