Skip to main content
An official website of the United States government
The .gov means it's official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you're on a federal government site.
The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.
Search:
Agenda
Reg Review
ICR
This script is used to control the display of information in this page.
Display additional information by clicking on the following:
All
Brief and OIRA conclusion
Abstract/Justification
Legal Statutes
Rulemaking
FR Notices/Comments
IC List
Burden
Misc.
Common Form Info.
Certification
View Information Collection (IC) List
View Supporting Statement and Other Documents
Please note that the OMB number and expiration date may not have been determined when this Information Collection Request and associated Information Collection forms were submitted to OMB. The approved OMB number and expiration date may be found by clicking on the Notice of Action link below.
View ICR - OIRA Conclusion
OMB Control No:
0938-1043
ICR Reference No:
200802-0938-003
Status:
Historical Active
Previous ICR Reference No:
Agency/Subagency:
HHS/CMS
Agency Tracking No:
Title:
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Type of Information Collection:
New collection (Request for a new OMB Control Number)
Common Form ICR:
No
Type of Review Request:
Regular
OIRA Conclusion Action:
Approved without change
Conclusion Date:
06/12/2008
Retrieve Notice of Action (NOA)
Date Received in OIRA:
02/25/2008
Terms of Clearance:
Inventory as of this Action
Requested
Previously Approved
Expiration Date
06/30/2011
36 Months From Approved
Responses
142,680
0
0
Time Burden (Hours)
23,286
0
0
Cost Burden (Dollars)
0
0
0
Abstract:
With this submission, we are creating a new PRA package for critical access hospitals (CAHs). While seeking OMB approval independently, the burden is currently approved. The information collection requirements, as discussed in the supporting statement, are needed to implement the Medicare and Medicaid CoPs for 1,189 CAHs. Currently, the information collection requirements associated with the critical access hospital conditions of participation (CoPs) are included with the hospital CoPs reported under CMS-R-48 (0938-0328. Because the CAH program has grown in scope of services and the number of providers, we have taken the CAH burden from the CMS-R-48 with the exception of the burden associated with the 101 CAHs that have distinct part units (DPUs). Section 1820(c)(2)(E)(i) of the Act states that if a CAH operates a distinct part psychiatric or rehabilitation unit it must have 10 beds or less in the DPU and it must comply with the hospital requirements specified in Subpart A, B, C, and D of part 482 on those units. Based on 2007 data from HRSA, 81 CAHs have psychiatric distinct part units (DPUs) and 20 CAHs have rehabilitation DPU. The burden associated with the 101 CAH with DPUs is reported in CMS-R- 48.
Authorizing Statute(s):
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
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
Citations for New Statutory Requirements:
None
Associated Rulemaking Information
RIN:
Stage of Rulemaking:
Federal Register Citation:
Date:
Not associated with rulemaking
Federal Register Notices & Comments
60-day Notice:
Federal Register Citation:
Citation Date:
72 FR 63613
11/09/2007
30-day Notice:
Federal Register Citation:
Citation Date:
73 FR 3469
01/18/2008
Did the Agency receive public comments on this ICR?
No
Number of Information Collection (IC) in this ICR:
7
IC Title
Form No.
Form Name
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
Conditions of Participation for Critical Access Hospitals and Supporting Regulations in 42 CFR 485.23, 485.618, 485.618, 485.631, 485.635, 485.641, 485.643, 485.645
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
142,680
0
0
142,680
0
0
Annual Time Burden (Hours)
23,286
0
0
23,286
0
0
Annual Cost Burden (Dollars)
0
0
0
0
0
0
Burden increases because of Program Change due to Agency Discretion:
Yes
Burden Increase Due to:
Changing Regulations
Burden decreases because of Program Change due to Agency Discretion:
No
Burden Reduction Due to:
Short Statement:
This information collection request (ICR), CMS-10239, is a new ICR. The burden estimates associated with the current CAH conditions of participation (CoPs) are currently approved under CMS-R-48 (0938-0328). While seeking approval for CMS-10239, we will simultaneously be submitting a revised ICR for CMS -R-48 to remove the burden associated with CAHs.
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
Agency Contact:
William Parham 4107864669
Common Form ICR:
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:
(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:
02/25/2008
An official website of the United States government
The .gov means it's official.
The site is secure.
