(CMS-10239) Conditions of Participation for Critical Access Hospitals and Supporting Regulations

ICR 202011-0938-005

OMB: 0938-1043

Federal Form Document

Forms and Documents
Document
Name
Status
Supporting Statement A
2020-11-10
IC Document Collections
IC ID
Document
Title
Status
233699
Unchanged
195096
Unchanged
183848
Unchanged
183847
Unchanged
183846
Unchanged
183845
Unchanged
183844
Unchanged
183843
Unchanged
183842
Unchanged
ICR Details
0938-1043 202011-0938-005
Received in OIRA 201810-0938-011
HHS/CMS 21626
(CMS-10239) Conditions of Participation for Critical Access Hospitals and Supporting Regulations
Revision of a currently approved collection   No
Regular 11/10/2020
  Requested Previously Approved
36 Months From Approved 01/31/2021
119,467 118,252
33,905 24,183
0 0

This information collection package is a revision of the approved information collection requirements. With this submission, we have updated our estimates to reflect the current number of facilities and the current BLS salary information. The information collection requirements, as discussed in the attached supporting statement, are needed to implement the Medicare CoPs for 1,233 CAHs.

US Code: 42 USC 1395x(e) and (mm) Name of Law: Part E - Miscellaneous Provisions
   US Code: 42 USC 1395(a)(8) Name of Law: Conditions of and Limitations on Payment for Services
   US Code: 42 USC 1320b-8 Name of Law: Hospital Protocols for Organ Procurement and Standards for Organ Procurement Agencies
   US Code: 42 USC 1302 Name of Law: Rules and Regulations
   US Code: 42 USC 1395i-4(a-f) Name of Law: Medicare Rural Hospital Flexibility Program
   US Code: 42 USC 1395hh Name of Law: Regulations
   US Code: 42 USC 1395aa Name of Law: Use of State Agencies to determine compliance by providers of services with CoPs
  
None

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

No

9
IC Title Form No. Form Name
42CFR485.623(d)(4)
42CFR485.618
42CFR485.631
42CFR485.635(c)(3)
42CFR485.641
42CFR485.643(a-b)
42CFR485.645(d)
42CFR485.635(f)
42CFR485.635(a)

  Total Request 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 119,467 118,252 0 1,215 0 0
Annual Time Burden (Hours) 33,905 24,183 0 9,722 0 0
Annual Cost Burden (Dollars) 0 0 0 0 0 0
Yes
Miscellaneous Actions
No
This package has been updated to reflect changes related to patient care policies. Although we are changing that requirement from an annual review to a biennial review, resulting in real-world savings, the burden associated with that review was not previously accounted for in this package due to it being considered a usual and customary business practice. Introducing the remaining biennial review to this package results in an increase in burden from 24,183 hours to 33,905 hours.

$0
No
    No
    No
No
No
No
No
Denise King 410 786-1013 Denise.King@cms.hhs.gov

  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.
11/10/2020


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