Approved for use
through 12/91 under the condition that the next package submitted
for OMB review includes milestones for amending the hospice and
home health agency conditions of participation to make their
information collection requirements mor consistent and to begin
streamlining the survey processes to the maxim extent possible
under the Social Security Act.
Inventory as of this Action
Requested
Previously Approved
12/31/1991
12/31/1991
02/28/1991
400
0
400
466,300
0
466,300
0
0
0
THESE INFORMATION COLLECTIONS ARE
NEEDED TO IMPLEMENT THE MEDICARE HOSPICE BENEFIT. INFORMATION IS
NEEDED FROM INDIVIDUALS ELECTING HOSPICE CARE AND FROM HOSPICES
PARTICIPATING IN THE PROGRAM TO ASSURE THAT STATUTORY AND
REGULATORY REQUIREMENTS ARE MET.
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.