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Federal forms, ICRs, and supporting documents

Information Collection Request

(CMS-R-39) Home Health Medicare Conditions of Participation (CoP) and Supporting Regulations

ICR 201703-0938-001 · OMB 0938-0365 · Historical Active

Forms and Documents
Document
Name
Status
Supplementary Document
2017-03-01
Supporting Statement A
2017-03-01
IC Document Collections
IC ID
Document
Title
Status
8006
Unchanged
ICR Details
0938-0365 201703-0938-001
Historical Active 201311-0938-012
HHS/CMS 20916
(CMS-R-39) Home Health Medicare Conditions of Participation (CoP) and Supporting Regulations
Reinstatement with change of a previously approved collection   No
Emergency 04/05/2017
Approved with change 02/09/2018
Retrieve Notice of Action (NOA) 03/02/2017
  Inventory as of this Action Requested Previously Approved
08/31/2018 6 Months From Approved
13,577 0 0
6,422,694 0 0
0 0 0
42 CFR 484 outlines Home Health Agency Medicare CoP to ensure HHAs meet the Federal patient health and safety regulations.
The Centers for Medicare and Medicaid Services (CMS) is requesting a Paperwork Reduction Act (PRA) package related to the Medicare and Medicaid Programs: Conditions of Participation for Home Health Agencies and Supporting Regulations at 42 CFR part 484, to be processed under the emergency clearance process associated with 5 CFR 1320.13(a)(2)(i). Public harm is reasonably likely to ensue if the normal, non-emergency clearance procedures are followed. The approval of this information collection package is necessary because in the absence of such approval CMS will be unable to effectively enforce these essential health and safety requirements. Among other things, CMS will be unable to enforce requirements that HHAs must provide a notice of rights to each patient, assure the proper training of home health aides before those aides provide hands-on care to patients, and disclose the names and addresses of all individuals with an ownership or management position so that we can assure that those with a history of fraud are not involved in HHA operations. Being unable to enforce these rules would harm patient health and safety, as well as create risks to the integrity of the Medicare and Medicaid programs.
US Code: 42 USC 1395x Name of Law: Definitions
  
None
Not associated with rulemaking
No
  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 13,577 0 0 0 0 13,577
Annual Time Burden (Hours) 6,422,694 0 0 0 0 6,422,694
Annual Cost Burden (Dollars) 0 0 0 0 0 0
No
No
$131,153,820
No
    No
    No
No
No
No
Uncollected
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.
03/02/2017