Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations 42 CFRE 413.20, 413.24

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
7953	Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations 42 CFRE 413.20, 413.24 Form	Migrated

ICR Details

OMB Control No: 0938-0301	ICR Reference No: 200208-0938-017
Status: Historical Active	Previous ICR Reference No: 200203-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations 42 CFRE 413.20, 413.24
Type of Information Collection: Revision of a currently approved collection	Common Form ICR:  No
Type of Review Request: Regular
OIRA Conclusion Action: Approved without change	Conclusion Date: 11/20/2002
	Date Received in OIRA: 08/29/2002
Terms of Clearance: This information collection request is approved for an additional three years consistent with the following terms of clearance: (1) CMS will continue annual reissuance of the December 2001 Program Memorandum (A-01-137) until its burden reducing provisions can be incorporated into the appropriate manual (2) CMS will continue to work with respondents to phase out unnecessary sections of this cost report supplement as more providers move into prospective payment systems (3) CMS will continue its long range effort to eliminate this form by eventually incorporating any remaining requirements into the larger cost report collection (0938-0050) & (4) CMS will coordinate this collection with its 855 Provider Enrollment form to streamline the collection. Progress on each of these terms should be reported at the next submission of this collection for OMB review.

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	11/30/2005	11/30/2005	11/30/2002
Responses	30,526	0	33,144
Time Burden (Hours)	900,517	0	1,342,332
Cost Burden (Dollars)	0	0	0

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Abstract: CMS-339 must be completed by all providers to ensure proper Medicare reimbursement to providers and to minimize subsequent contact between the provider and its fiscal intermediary. It is used to gather information necessary to support financial and statistical entries on the cost report.

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Authorizing Statute(s): None

Citations for New Statutory Requirements: None

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Associated Rulemaking Information
RIN:	Stage of Rulemaking:	Federal Register Citation:	Date:

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Federal Register Notices & Comments

Did the Agency receive public comments on this ICR? No

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Number of Information Collection (IC) in this ICR: 1

IC Title	Form No.	Form Name
Medicare Provider Cost Report Reimbursement Questionnaire and Supporting Regulations 42 CFRE 413.20, 413.24	CMS-339

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ICR Summary of Burden

	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	30,526	33,144	0	-2,618	0	0
Annual Time Burden (Hours)	900,517	1,342,332	0	-441,815	0	0
Annual Cost Burden (Dollars)	0	0	0	0	0	0

Burden increases because of Program Change due to Agency Discretion: No

Burden Increase Due to:

Burden decreases because of Program Change due to Agency Discretion: Yes

Burden Reduction Due to:

Short Statement:

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Annual Cost to Federal Government: $0

Does this IC contain surveys, censuses, or employ statistical methods? No

Is the Supporting Statement intended to be a Privacy Impact Assessment required by the E-Government Act of 2002? No

Is this ICR related to the Affordable Care Act [Pub. L. 111-148 & 111-152]? Uncollected

Is this ICR related to the Dodd-Frank Wall Street Reform and Consumer Protection Act, [Pub. L. 111-203]? Uncollected

Is this ICR related to the American Recovery and Reinvestment Act of 2009 (ARRA)? Uncollected

Is this ICR related to the Pandemic Response? Uncollected

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Common Form ICR:  No

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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:

(a) It is necessary for the proper performance of agency functions;

(b) It avoids unnecessary duplication;

(c) It reduces burden on small entities;

(d) It uses plain, coherent, and unambiguous language that is understandable to respondents;

(e) Its implementation will be consistent and compatible with current reporting and recordkeeping practices;

(f) It indicates the retention periods for recordkeeping requirements;

(g) It informs respondents of the information called for under 5 CFR 1320.8 (b)(3) about:

(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;

(h) It was developed by an office that has planned and allocated resources for the efficient and effective management and use of the information to be collected.

(i) It uses effective and efficient statistical survey methodology (if applicable); and

(j) It makes appropriate use of information technology.

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.

Certification Date: 08/29/2002

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