Approved for use through 7/2000 under the condition that HCFA continues to monitor the burden imposed by these cost reports, in particular any reductions that can be attributed to electronic submission. Prior to the next submission for OMB review, HCFA must submit a correction worksheet for these reductions with a detailed explanation of the assumptions underlying the revised burden estimate.
Inventory as of this Action
Requested
Previously Approved
07/31/2000
07/31/2000
05/31/1999
7,000
0
7,000
1,372,000
0
1,372,000
0
0
17,635,096,000
The Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Report is the cost report to be used by free-standing SNFs to submit annual information to achieve a settlement of costs for health care services rendered to Medicare beneficiaries.
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.
Skilled Nursing Facility and Skilled Nursing Facility Health Care Complex Cost Report -- 42 CFR 413.13, 413.20, 413.24, and 413.157