View Information Collection Request (ICR) Package

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View ICR - OIRA Conclusion

OMB Control No: 0938-0266	ICR Reference No: 198409-0938-005
Status: Historical Active	Previous ICR Reference No: 198305-0938-006
Agency/Subagency: HHS/CMS	Agency Tracking No:
Title: AMBULATORY SURGICAL CENTER REQUEST FOR CERTIFICATION AND SURVEY REPORT FORM, AND THE PAPERWORK REQUIREMENTS IN 42 CFR 416.43 AND 416.47
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: 10/15/1984
	Date Received in OIRA: 09/25/1984
Terms of Clearance: THE HCFA 378 AND THE INFORMATION COLLECTION REQUEST, FOR 416.43 AND 416.47 ARE APPROVED. APPROVAL IS GRANTED ON THE CONDITION THAT HHS PERFORM A COMPREHENSIVE REVIEW OF ALL OTHER REGULATORY PROVISIONS UNDER SUBPART B AND SUBMIT ALL REPORTING AND RECORDKEEPING REQUIREMENTS TO OMB FOR REVIEW PURSUANT TO 5 U.S.C. 1320(A).

	Inventory as of this Action	Requested	Previously Approved
Expiration Date	10/31/1986	10/31/1986	10/31/1984
Responses	215	0	400
Time Burden (Hours)	2,308	0	6,500
Cost Burden (Dollars)	0	0	0

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