Drug Utilization Review, Medicaid

ICR 199706-0938-005

OMB: 0938-0659

Federal Form Document

Forms and Documents
Document
Name
Status
No forms / supporting documents in this ICR. Check IC Document Collections.
IC Document Collections
IC ID
Document
Title
Status
8241 Migrated
ICR Details
0938-0659 199706-0938-005
Historical Active 199703-0938-008
HHS/CMS
Drug Utilization Review, Medicaid
Revision of a currently approved collection   No
Regular
Approved without change 08/11/1997
Retrieve Notice of Action (NOA) 06/13/1997
This information is approved through 12-98 under the following conditions: Upon the next submission, HCFA will report on the quality of the information received using the new form and State satisfaction/reaction with the format.
  Inventory as of this Action Requested Previously Approved
01/31/1999 01/31/1999 09/30/1997
50 0 50
668,400 0 669,900
0 0 0

This is a reinstatement (with a change) of the OMB-approved requirements (HCFA-R-153) on DUR programs that will expire on September 30, 1997. The program and requirements are the same, but HCFA intends to add survey/instructions for the annual report. This framework in form HCFA-R-153a would allow for reports to be more easily prepared by the estates, while also enhancing the usefulness of these reports for analysis and comparison by HCFA. Submission of reports has been required by section 1927(g) of the Social Security Act.

None
None


No

1
IC Title Form No. Form Name
Drug Utilization Review, Medicaid HCFA-R153, R153A

  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 50 50 0 0 0 0
Annual Time Burden (Hours) 668,400 669,900 0 -1,500 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
Yes

$0
No
No
Uncollected
Uncollected
Uncollected
Uncollected

  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.
06/13/1997


© 2024 OMB.report | Privacy Policy